Wilson, Jennifer Lynn

Wilson, Jennifer Lynn is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wilson, Jennifer Lynn can be contacted via phone (765) 747-3241.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 747-3241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01063111A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01063111A Indiana

Profile Details

NPI number 1437351731
LBN Legal business name Wilson, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Mar 2nd, 2021 - about 5 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 1437351731 NPPES
Indiana Other 000000564472 ANTHEM BC/BS
Indiana Other P01403061 ANTHEM BC/BS
Indiana Other 000000711665 ANTHEM BC/BS
Indiana Other P00775321 ANTHEM BC/BS
Indiana MEDICAID 200880830A ANTHEM BC/BS
Indiana Other P00841097 ANTHEM BC/BS
Indiana Other P01087706 ANTHEM BC/BS

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