MISS JENNY VIVIAN WILSON (NPI# 1376055004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376055004 |
Entity Type | Individual |
Full Name | MISS JENNY VIVIAN WILSON |
Practice Address |
17301 East 24 Hwy Independence MO 64056 |
Practice Telephone | 8663892727 |
Enumeration Date | 2017-11-03 |
Last Update Date | 2018-04-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 2013031244 | MO | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20180009355 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
100 Ne Saint Lukes Blvd, Lees Summit, MO 640866000 | 8165723286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144609959 | Jenny Marie Wilson | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2015-05-26 |
1891037503 | Jenny R Wilson | Nurse Anesthetist, Certified Registered | 232 W 25th St, Erie, PA 16544-0002 | 2013-03-20 |
1093071805 | Jenny L Wilson | Registered Nurse | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2012-04-05 |
1205094406 | Jenny Lupovici Wilson | Psychiatry & Neurology | 707 Sw Gaines St, Portland, OR 97239-2901 | 2008-05-26 |
Street Address |
17301 EAST 24 HWY |
City | INDEPENDENCE |
State | MO |
Zip Code | 64056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407490246 | Laurie Beth Clark | Nurse Practitioner | 17009 E Cheyenne Dr, Independence, MO 64056 | 2019-11-05 |
1336423623 | Susann Nance | Pharmacist | 17811 E 24 Hwy, Independence, MO 64056 | 2011-10-05 |
1942303409 | Patrick J Morris | Dentist | 613 Se 5th St, Lees Summit, MO 64056 | 2006-09-07 |
1487147401 | Stephanie Scott | Nurse Practitioner | 17301 E Us Highway 24, Independence, MO 64056 | 2018-06-13 |
1184639114 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2006-07-29 |
1518376748 | Brendon Magruder | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2014-08-13 |
1689941841 | Lochna Patel | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2011-11-16 |
1467734418 | Samantha Marie Scogn | Pharmacist | 17811 E Us Highway 24, Independence, MO 64056-1164 | 2011-09-15 |
1457505950 | Edwin M. Myers, D.d.s., P.C. | Clinic/Center | 18110 E Us Highway 24, Ste. A, Independence, MO 64056-1170 | 2008-11-11 |
1679546154 | Edwin M Myers | Dentist | 18110 E 24 Hwy, Independence, MO 64056-1170 | 2006-02-07 |
Find all providers in zip 64056 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255944815 | Lauren Narduzzi | Nurse Practitioner | 8755 Hillside Rd, Independence, OH 44131-5424 | 2020-08-24 |
1699303735 | Aaron Mccoy | Nurse Practitioner | 11509 Staffordsburg Rd, Independence, KY 41051-7759 | 2020-04-01 |
1851922629 | Integrated Health and Wellness LLC | Nurse Practitioner | 281 Martin Luther King Jr St, Independence, LA 70443-2386 | 2020-01-30 |
1467010298 | Francina Contessa Whitley | Nurse Practitioner | 17020 E Us Highway 40 Ste 5&6, Independence, MO 64055-5361 | 2019-06-05 |
1033777545 | Joshua Clayton Smith | Nurse Practitioner | 12613 E 41st Ter S, Independence, MO 64055-4420 | 2019-05-30 |
1326539578 | Brenton Paul Wagner | Nurse Practitioner | 4801 Acorn Dr Ste B, Independence, OH 44131-2566 | 2018-05-23 |
1649791468 | Danielle Davone Boguslaw | Nurse Practitioner | 4731 S Cochise Dr Ste 100, Independence, MO 64055-6975 | 2017-07-01 |
1063951101 | April Altice | Nurse Practitioner | 815 N Noland Rd Ste 6, Independence, MO 64050-2975 | 2017-02-22 |
1184173924 | Tina Michelle Ross | Nurse Practitioner | 1500 W White Oak St, Independence, MO 64050-2559 | 2016-09-21 |
1477907830 | Christina M Reser | Nurse Practitioner | 16912 E Hart Ave, Independence, MO 64055-3040 | 2016-04-21 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 64056 |
Please comment or provide details below to improve the information on MISS JENNY VIVIAN 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.