Wilson, Jennifer
Wilson, Jennifer is an individual health care provider with primary practice located at 1530 Route 9 , Wappingers Falls NY 12590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wilson, Jennifer can be contacted via phone (845) 297-2511.Contact Information
Primary practice address
1530 Route 9
Wappingers Falls NY 12590
Phone: (845) 297-2511
Fax: (845) 297-4993
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 017366 | New York |
Profile Details
NPI number | 1265853691 |
---|---|
LBN Legal business name | Wilson, Jennifer |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2014 |
Last updated | Mar 2nd, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265853691 | NPPES |
New York | MEDICAID | 03791619 |
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