KELLY MAUREEN WILSON NP NPI 1396959201

NPI Information

  • NPI: 1396959201
  • Provider Name: KELLY MAUREEN WILSON, NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 303 SACRAMENTO ST
    VALLEJO, CA
    ZIP 94590
  • Phone: (925) 887-5398

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NPI Details

Kelly Maureen Wilson, NP is a women's health nurse practitioner in Vallejo, CA. Kelly Maureen Wilson, NP NPI is 1396959201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

303 SACRAMENTO ST
VALLEJO, CA
ZIP 94590-901
Phone: (925) 887-5398

The enumeration date for this NPI number is 5/9/2007 and was last updated on 5/14/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health11350CALIFORNIAYes

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: 11/21/2025

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