MARY SUSAN WILSON (NPI# 1386017283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386017283 |
| Entity Type | Individual |
| Full Name | MARY SUSAN WILSON |
| Credential | RN |
| Practice Address |
7175 Brills Lake Rd Jackson MI 49201-9691 |
| Mailing Address |
7175 Brills Lake Rd Jackson MI 49201 |
| Practice Telephone | 5177407387 |
| Mailing Telephone | 5177407387 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
L716881 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152981 | Mary L Wilson | Technician | 2108 Camden Ave Ste A, Parkersburg, WV 26101-5676 | 2020-10-26 |
| 1699336222 | Mary Wilson | Counselor | 244 Washington Blvd Apt 3a, Oak Park, IL 60302-4147 | 2019-06-25 |
| 1730748906 | Mary Wilson | Registered Nurse | 1540 Lake Lansing Rd Ste G3, Lansing, MI 48912-3757 | 2019-06-11 |
| 1720580533 | Mary Ellen Wilson | Home Health Aide | 1219 Crystal St, Toledo, OH 43605-3806 | 2018-03-07 |
| 1831569755 | Mary Wilson | Social Worker | 915 Avenue B, Nederland, TX 77627-2902 | 2015-10-05 |
| 1376932707 | Mary Wilson | Case Manager/Care Coordinator | 119 Whispering Woods Ln, Alexandria, KY 41001-9226 | 2015-01-22 |
| 1144640087 | Mary Maningue Wilson | Home Health Aide | 9365 Steeple Ct, Laurel, MD 20723-5822 | 2014-04-18 |
| 1508176835 | Mary Lucinda Wilson | Counselor | 1536 Sunrise Plaza Dr Ste 100, Clermont, FL 34714-6204 | 2010-10-20 |
| 1538490776 | Mary Hayden Wilson | Counselor | 5828 Maria Del Mar St, Las Vegas, NV 89130-7299 | 2010-01-28 |
| 1932380979 | Mary Louise Wilson | Registered Nurse | 1342 W Emerald Ave, Unit 256, Mesa, AZ 85202-3379 | 2007-11-19 |
| Street Address |
7175 BRILLS LAKE RD |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836336 | Casey Orzech | Registered Nurse | 4584 Fishing Club Drive, Jackson, WY 83002 | 2019-02-06 |
| 1144702960 | Juanita Mcdonald | Registered Nurse | 3223 Sage St, Jackson, MS 39213-6157 | 2018-08-29 |
| 1922586155 | Kristen Fields | Registered Nurse | 1900 Dunbarton Dr Ste H, Jackson, MS 39216-5034 | 2018-07-31 |
| 1508286360 | Anita Kaye Williams | Registered Nurse | 103 Waylawn Ct, Jackson, MS 39206-2305 | 2014-04-21 |
| 1548395684 | Joan Alice Heath | Registered Nurse | N168w21700 Main St Lot 122, Jackson, WI 53037 | 2007-02-22 |
| 1619451671 | Infinity Private Care | Registered Nurse | 1900 Dunbarton Dr Ste H, Jackson, MS 39216-5034 | 2018-09-17 |
| 1447627534 | Christine Marie Bater | Registered Nurse | 1515 Greenwood Ave, Jackson, MI 49203-4047 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1730796764 | Rebekah J Trivilino | Registered Nurse | 619 W Houstonia Ave, Royal Oak, MI 48073-4083 | 2020-09-24 |
| 1508473653 | Latoia Pharr | Registered Nurse | 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 | 2020-09-23 |
| 1093332843 | Laurence Stephen Reuben | Registered Nurse | 26070 Radclift Pl, Oak Park, MI 48237-1047 | 2020-06-28 |
| 1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
| 1558980862 | Kyesha Noble | Registered Nurse | 545 Abbey St Apt G, Muskegon, MI 49442-2155 | 2020-04-16 |
| 1568095222 | Leslie Kidd | Registered Nurse | 8904 Cedar Lake Dr, Jenison, MI 49428-9462 | 2020-02-20 |
| 1164054086 | Brenda S Vanaanhold | Registered Nurse | 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 | 2020-02-08 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1134777592 | Alicia Marie Gregg | Registered Nurse | 6024 Walton Rd, Kingsley, MI 49649-9275 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
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| 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.