JEANNINE WILSON LE NPI 1629475017

NPI Information

  • NPI: 1629475017
  • Provider Name: JEANNINE WILSON, LE
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 118 THE ALAMEDA
    SAN ANSELMO, CA
    ZIP 94960
  • Phone: (415) 260-2149

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NPI Details

Jeannine Wilson, LE is a specialist in San Anselmo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jeannine Wilson, LE NPI is 1629475017. 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:

118 THE ALAMEDA
SAN ANSELMO, CA
ZIP 94960-207
Phone: (415) 260-2149

The enumeration date for this NPI number is 12/1/2014 and was last updated on 12/1/2014.

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
1174400000XSpecialistCALIFORNIAYes

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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