Wilson, Janet Diane

Wilson, Janet Diane is an individual health care provider with primary practice located at 1315 Hospital Drive , St Johnsbury VT 05819-0905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Janet Diane can be contacted via phone (802) 748-8141.

Contact Information

Primary practice address
1315 Hospital Drive St Johnsbury VT 05819-0905
Phone: (802) 748-8141
Fax: (802) 748-4098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12631 Tennessee

Profile Details

NPI number 1912029224
LBN Legal business name Wilson, Janet Diane
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Aug 31st, 2009 - about 15 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 1912029224 NPPES
Tennessee Other 1511739 MEDICAID MCC TEMP#

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