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DR. JACQUELINE DEANNA WILSON M.D. NPI 1457678377


NPI Information

NPI: 1457678377
Provider Name: DR. JACQUELINE DEANNA WILSON, M.D.
Classification: Preventive Medicine - 2083A0300X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
200 LOTHROP ST
PITTSBURGH, PA
ZIP 15213
Phone: (412) 647-2345
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DR. Jacqueline Deanna Wilson, M.D. is an addiction medicine preventive medicine in Pittsburgh, PA with 14 years of experience. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Jacqueline Deanna Wilson, M.D. NPI is 1457678377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

200 LOTHROP ST
PITTSBURGH, PA
ZIP 15213-536
Phone: (412) 647-2345

The NPI 1457678377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2010 and was last updated on 10/21/2020.


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
1207R00000XInternal MedicineMD461194PENNSYLVANIANo
2208000000XPediatricsMD461194PENNSYLVANIANo
32080A0000XPediatricsAdolescent MedicineMD461194PENNSYLVANIANo
42083A0300XPreventive MedicineAddiction MedicineMD461194PENNSYLVANIAYes

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: 4/28/2024

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.