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JESSICA J WILSON CHAN D O PA NPI 1457995953


NPI Information

NPI: 1457995953
Provider Name: JESSICA J WILSON CHAN D O PA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
14522 UNIVERSITY POINT PL
TAMPA, FL
ZIP 33613
Phone: (813) 978-0020
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JESSICA J WILSON CHAN D O PA is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JESSICA J WILSON CHAN D O PA NPI is 1457995953. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14522 UNIVERSITY POINT PL
TAMPA, FL
ZIP 33613-425
Phone: (813) 978-0020
Fax: (813) 972-9024

The provider's authorized official is Jessica Jill Wilson-chan .
The authorized official title is Physician and has the following contact phone number (813) 978-0020.

The enumeration date for this NPI number is 10/29/2019 and was last updated on 10/29/2019.


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
1208D00000XGeneral PracticeYes

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

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