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MR. JOHN ZAAKERY WILSON PSS NPI 1376107979


NPI Information

NPI: 1376107979
Provider Name: MR. JOHN ZAAKERY WILSON, PSS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
3350 E BEECH WAY # A
WASILLA, AK
ZIP 99654
Phone: (760) 808-0251
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MR. John Zaakery Wilson, PSS is a peer specialist in Wasilla, AK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. John Zaakery Wilson, PSS NPI is 1376107979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3350 E BEECH WAY # A
WASILLA, AK
ZIP 99654-417
Phone: (760) 808-0251

The enumeration date for this NPI number is 4/29/2019 and was last updated on 4/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17005862OTHERALASKADRIVERS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.