JESSICA PATREECE WILSON NP NPI 1629622162

NPI Information

  • NPI: 1629622162
  • Provider Name: JESSICA PATREECE WILSON, NP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7303 BRITTNEY LANE
    KENLY, NC
    ZIP 27542
  • Phone: (252) 265-2842

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NPI Details

Jessica Patreece Wilson, NP is a primary care nurse practitioner in Kenly, NC. Jessica Patreece Wilson, NP NPI is 1629622162. 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:

7303 BRITTNEY LANE
KENLY, NC
ZIP 27542
Phone: (252) 265-2842

The NPI 1629622162 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 8/1/2019 and was last updated on 3/15/2024.

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
1207R00000XInternal MedicineWILS-K763D2NORTH CAROLINANo
2207RG0300XInternal MedicineGeriatric MedicineWILS-K763D2NORTH CAROLINANo
3208D00000XGeneral PracticeWILS-K763D2NORTH CAROLINANo
4363LA2100XNurse PractitionerAcute CareWILS-K763D2NORTH CAROLINANo
5363LA2200XNurse PractitionerAdult HealthWILS-K763D2NORTH CAROLINANo
6363LG0600XNurse PractitionerGerontologyWILS-K763D2NORTH CAROLINANo
7363LC1500XNurse PractitionerCommunity HealthWILS-K763D2NORTH CAROLINANo
8363LP2300XNurse PractitionerPrimary CareWILS-K763D2NORTH CAROLINAYes
9207QA0505XFamily MedicineAdult MedicineWILS-K763D2NORTH CAROLINANo
10207QG0300XFamily MedicineGeriatric MedicineWILS-K763D2NORTH CAROLINANo
11171400000XHealth and Wellness CoachNo

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

NPI Synchronization or Removal

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