Wilson, Jane N

Wilson, Jane N is an individual health care provider with primary practice located at 4212 N 16Th St Ob/Gyn Department, Phoenix AZ 85016-5319. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Wilson, Jane N can be contacted via phone (602) 263-1200.

Contact Information

Primary practice address
4212 N 16Th St Ob/Gyn Department Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN079372 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 153 Arizona

Profile Details

NPI number 1073549960
LBN Legal business name Wilson, Jane N
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 4th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073549960 NPPES
Arizona MEDICAID 440941

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