Wilson, Jean

Wilson, Jean is an individual health care provider with primary practice located at 319 Stanley Ave , Bayonne NJ 07002-5068. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Jean can be contacted via phone (336) 740-0897.

Contact Information

Primary practice address
319 Stanley Ave Bayonne NJ 07002-5068
Phone: (336) 740-0897
Fax: (888) 979-8335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R127999 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005315 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00418200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F337917 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R127999 Maryland

Profile Details

NPI number 1740568450
LBN Legal business name Wilson, Jean
Credentials FNP-B.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2011
Last updated Feb 16th, 2015 - about 10 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 1740568450 NPPES
North Carolina MEDICAID 7005409

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