Wilton, Jeanne

Wilton, Jeanne is an individual health care provider with primary practice located at 2316 South Street , Lafayette IN 47904-2971. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilton, Jeanne can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
2316 South Street Lafayette IN 47904-2971
Fax: (765) 429-2700
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004828A Indiana

Profile Details

NPI number 1346250586
LBN Legal business name Wilton, Jeanne
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated May 9th, 2022 - about 2 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 1346250586 NPPES
Indiana MEDICAID 201217180

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