JENNIFER WILSON (NPI# 1265853691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265853691 |
| Entity Type | Individual |
| Full Name | JENNIFER WILSON |
| Credential | P.A. |
| Practice Address |
1530 Route 9 Wappingers Falls NY 12590 |
| Mailing Address |
12 Salk Dr Highland NY 12528-1819 |
| Practice Telephone | 8452972511 |
| Practice Fax Number | 8452974993 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
017366 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03791619 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 396 Broadway, Healthalliance Hospital, Broadway Campus, Kingston, NY 124014626 | 8453313131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112013 | Jennifer Rockell Wilson | Case Manager/Care Coordinator | 450 S Venoy Rd, Westland, MI 48186-7805 | 2020-04-08 |
| 1023577665 | Jennifer Marie Wilson | Social Worker | 9660 Bend Dr, Jenison, MI 49428-9525 | 2019-03-13 |
| 1720545049 | Jennifer M Wilson | Registered Nurse | 17 Ridge Ave, Spring Valley, NY 10977-5407 | 2019-02-22 |
| 1528533726 | Jennifer S. Wilson | Specialist/Technologist | 216 Cody Ct, Clarksville, TN 37043-5897 | 2018-10-04 |
| 1750881488 | Jennifer Michele Wilson | Licensed Vocational Nurse | 20606 N Interstate 35, West, TX 76691-1812 | 2018-02-19 |
| 1942725700 | Jennifer Lynnette Wilson | Physician Assistant | 282 Equestrian Way, Raeford, NC 28376-7721 | 2017-08-13 |
| 1548782543 | Jennifer Wilson | Nurse Practitioner | 4665 W Atlantic Ave Ste B, Delray Beach, FL 33445-3800 | 2017-07-11 |
| 1770012775 | Jennifer Wilson | Registered Nurse | 3902 Henderson Blvd Ste 202, Tampa, FL 33629-5034 | 2017-06-05 |
| 1174069694 | Jennifer Wilson | Behavior Technician | 2014 Quail Run Dr Ne, Albuquerque, NM 87122-1100 | 2017-01-07 |
| 1033579396 | Jennifer Wilson | Nurse Practitioner | 10001 S Eastern Ave Ste 407, Henderson, NV 89052-3908 | 2016-03-01 |
| Street Address |
1530 ROUTE 9 |
| City | WAPPINGERS FALLS |
| State | NY |
| Zip Code | 12590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649224155 | Joseph George Disalvo | Emergency Medicine | 1530 Route 9, Wappingers Falls, NY 12590 | 2006-05-20 |
| 1053619817 | Jaimie Adelle White | Physician Assistant | 1530 Route 9, Wappingers Falls, NY 12590-4131 | 2011-03-03 |
| 1245565464 | Health Quest Urgent Medical Care Practice, P.C. | Family Medicine | 1530 Route 9, Wappingers Falls, NY 12590-4131 | 2009-10-06 |
| 1932375938 | Health Quest Urgent Medical Care Practice, PC | Family Medicine | 1530 Route 9, Wappingers Falls, NY 12590 | 2008-04-30 |
| 1073638441 | Medicus,pc | Clinic/Center | 1530 Route 9, Wappingers Falls, NY 12590-4131 | 2007-03-21 |
| 1235262676 | Peter Bang | Family Medicine | 1530 Route 9, Wappingers Falls, NY 12590-4131 | 2007-03-14 |
| 1679606099 | Peter Gay | Family Medicine | 1530 Route 9, Wappingers Falls, NY 12590-4131 | 2007-03-14 |
| 1134270531 | Walter Soha | Emergency Medicine | 1530 Route 9, Wappingers Falls, NY 12590-4131 | 2007-01-15 |
| 1881777530 | Wilfred W Yee | Emergency Medicine | 1530 Route 9, Wappingers Falls, NY 12590-4131 | 2006-10-23 |
| 1205844347 | Carmen B. Jackson | Registered Nurse | 1530 Route 9, Wappingers Falls, NY 12590-4131 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848316 | Andrea K Bliss | Counselor | 37 Vandewater Dr, Wappingers Falls, NY 12590 | 2020-07-15 |
| 1073084166 | Bsv Chiropractic PC | Chiropractor | 1574 Us 9, Suite 13, Wappingers Falls, NY 12590 | 2018-12-16 |
| 1053890145 | Melissa Gjokaj | Licensed Practical Nurse | 32 Booth Boulevard, Wappingers Falls, NY 12590 | 2018-08-09 |
| 1457873358 | Brendan John O'connor | Psychologist | 1289 Route 9 Ste 10, Wappingers Falls, NY 12590 | 2017-07-12 |
| 1356862395 | Mark Krumholtz II | Specialist/Technologist | 23 Kendell Drive, Wappingers Falls, NY 12590 | 2017-06-29 |
| 1881122968 | Darlene Perry | Licensed Practical Nurse | 42 Worth Gilmore Blvd., Wappingers Falls, NY 12590 | 2017-06-01 |
| 1477934685 | Anne Bridget Lopez | Dietitian, Registered | 41 Old Castle Point Road, Wappinger Falls, NY 12590 | 2015-06-12 |
| 1194153056 | Gabriela Zambrano-economico | Case Manager/Care Coordinator | 6110 Princess Circle, Wappingers Falls, NY 12590 | 2013-10-30 |
| 1861827396 | Wappingers Dental, Pllc | Dentist | 115 New Hackensack Road, Wappingers Falls, NY 12590 | 2013-09-03 |
| 1841633740 | Helene D Cohen | Counselor | 2395 Route 9d, Wappinger Falls, NY 12590 | 2013-04-10 |
| Find all providers in zip 12590 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | WAPPINGERS FALLS |
| Zip Code | 12590 |
Please comment or provide details below to improve the information on JENNIFER WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.