Wilson, Jason Earl

Wilson, Jason Earl is an individual health care provider with primary practice located at 242 Deerfoot Dr , London KY 40741-8849. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wilson, Jason Earl can be contacted via phone (606) 862-2686.

Contact Information

Primary practice address
242 Deerfoot Dr London KY 40741-8849
Phone: (606) 862-2686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3143422 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3004775 Kentucky

Profile Details

NPI number 1255316808
LBN Legal business name Wilson, Jason Earl
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Sep 5th, 2013 - about 11 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 1255316808 NPPES
Florida Other G3425 BCBS
Florida MEDICAID 306753000 BCBS

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