JESSICA WILDER (NPI# 1295016780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295016780 |
Entity Type | Individual |
Full Name | JESSICA WILDER |
Credential | M.D. |
Practice Address |
318 Mall Blvd #300b Savannah GA 31406-4797 |
Practice Telephone | 9123581515 |
Mailing Telephone | 9123581515 |
Enumeration Date | 2011-08-29 |
Last Update Date | 2016-06-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 75407 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497280770 | Jessica Wilder | Nurse Practitioner | 128 Cattail Ln, Ocean Springs, MS 39564-3863 | 2017-04-25 |
1639732167 | Jessica Wilder | Military Health Care Provider | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2019-04-19 |
1821570763 | Jessica Wilder | Speech-Language Pathologist | 701 W Elm St, Winfield, MO 63389-1102 | 2018-09-06 |
1336688811 | Jessica Wilder | Counselor | 75 San Remo Dr, South Burlington, VT 05403-6385 | 2017-02-17 |
1013373513 | Jessica Wilder | Counselor | 2801 Lombard Ave, Everett, WA 98201-3619 | 2016-01-13 |
1316062441 | Jessica Wilder | Advanced Practice Midwife | 111 Point Street, Providence, RI 02903-1142 | 2007-03-20 |
Street Address |
318 MALL BLVD #300B |
City | SAVANNAH |
State | GA |
Zip Code | 31406-4797 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194723957 | David James Delnostro | Family Medicine | 318 Mall Blvd, Suite 300b, Savannah, GA 31406-4797 | 2005-07-14 |
1356953731 | Andrew Holloway | Pharmacist | 318 Mall Blvd, Savannah, GA 31406-4797 | 2020-08-18 |
1427458900 | Jennifer Weimer | Pharmacist | 318 Mall Blvd, Savannah, GA 31406-4700 | 2014-09-03 |
1518375500 | Mark Lynn O.d. & Associates, PC | Eyewear Supplier (Equipment, not the service) | 318 Mall Blvd, Ste 600 Unit A, Savannah, GA 31406-4700 | 2014-07-23 |
1912922618 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 318 Mall Blvd, Savannah, GA 31406-4700 | 2006-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
Find all providers in zip 31406 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427513217 | Cherica Jones | General Practice | 7805 Waters Ave Ste 3b, Savannah, GA 31406-2443 | 2019-02-05 |
1740706449 | Stacy Jane Slaght | General Practice | 151 Three Mast Ct, Savannah, GA 31410 | 2017-08-15 |
1649691338 | Philip Joseph Keating | General Practice | 25 W Perry St, Savannah, GA 31401-3951 | 2013-12-23 |
1902157902 | Donald Lyle Gates | General Practice | 6602 Abercorn Street, Suite 102, Savannah, GA 31405 | 2012-10-01 |
1205152311 | Lori Danielle Lynch | General Practice | 3 Johnston St, Savannah, GA 31405-5502 | 2010-04-14 |
1487887154 | Donald Hosford Bailey | General Practice | 463 Johnny Mercer Blvd, Suite B7 #331, Savannah, GA 31410-2167 | 2009-08-28 |
1174705073 | First Choice Wellness and Physical Medicine | General Practice | 340 Eisenhower Dr Ste 610, Savannah, GA 31406-1616 | 2007-12-03 |
1578779054 | Myra Mccoy Pope | General Practice | 2507 Little John Ct, Savannah, GA 31406-4124 | 2007-05-14 |
1518984194 | Michael Lewis Smith | General Practice | 255 Wayne Rd Ste B, Savannah, TN 38372-1948 | 2006-07-17 |
1790718898 | River City Convenient Care | General Practice | 1960 Pickwick St, Savannah, TN 38372-5309 | 2006-07-09 |
Find all providers in SAVANNAH |
Please comment or provide details below to improve the information on JESSICA WILDER.
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.