MRS. MARY JANE LIM WILSON (NPI# 1467896753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467896753 |
| Entity Type | Individual |
| Full Name | MRS. MARY JANE LIM WILSON |
| Credential | FNP |
| Practice Address |
1705 Aspen Village Way West Covina CA 91791-3105 |
| Practice Telephone | 6269183042 |
| Mailing Telephone | 6269183042 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22483 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1705 ASPEN VILLAGE WAY |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91791-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938896 | Oriental Holistic Acupuncture Healthe Center Inc | Acupuncturist | 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 | 2018-07-09 |
| 1780110312 | Yenmien Chen | Pharmacist | 5944 N Figueroa Ave, Los Angeles, CA 91791 | 2017-05-02 |
| 1568861227 | Gashparova Dental Practice Inc. | Dentist | 628 N. Azusa Ave., West Covina, CA 91791 | 2014-08-19 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| 1710245782 | Mark Chevy S Ledesma | Dentist | 319 N Azusa Ave., W Covina, CA 91791 | 2012-04-27 |
| 1508184920 | Elba Cecilia Olivares | Chiropractor | 743 S. Hillward Ave, West Covina, CA 91791 | 2010-05-10 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| 1376729483 | Accentcare Home Health of California, Inc. | Home Health | 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 | 2008-01-18 |
| 1629195870 | Jung Jung Liu | Dentist | 628 North Azusa Ave, West Covina, CA 91791 | 2007-03-23 |
| 1548302748 | Mark Chevy S Ledesma Dds Inc | Dentist | 319 N Azusa Ave, W Covina, CA 91791 | 2007-02-13 |
| Find all providers in zip 91791 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922572932 | Carla Diaz | Nurse Practitioner | 741 S Orange Ave Ste 150, West Covina, CA 91790-2662 | 2019-01-14 |
| 1619440237 | Rosa Maria Zubiate-laurie | Nurse Practitioner | 1535 W Merced Ave Ste 300, West Covina, CA 91790-3404 | 2019-01-07 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1174040570 | John Paul Yee | Nurse Practitioner | 3700 Colorado St, West Covina, CA 91792 | 2017-08-25 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1740725068 | Oliver Lee Chiu | Nurse Practitioner | 741 S Orange Ave Ste 151, West Covina, CA 91790-2662 | 2016-12-21 |
| 1609237155 | Fenny Kuan Lin | Nurse Practitioner | 2707 E Valley Blvd Ste 116, West Covina, CA 91792-3196 | 2016-03-11 |
| 1538532098 | Caremore Health Plan | Nurse Practitioner | 301 N. Azusa Avenue, West Covina, CA 90640 | 2015-11-05 |
| 1992123806 | Hazel Abalos Evalle | Nurse Practitioner | 1567 Reef, West Covina, CA 91790 | 2014-03-29 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91791 |
Please comment or provide details below to improve the information on MRS. MARY JANE LIM 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.