JENNIFER RACHEL WILSON (NPI# 1982179404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982179404 |
| Entity Type | Individual |
| Full Name | JENNIFER RACHEL WILSON |
| Credential | MSN, APRN, NP-C |
| Practice Address |
2157 S Highway 27 Stearns KY 42647-6297 |
| Mailing Address |
Po Box 28 Stearns KY 42647-0028 |
| Practice Telephone | 6063769700 |
| Practice Fax Number | 6063769703 |
| Mailing Telephone | 6063769700 |
| Mailing Fax Number | 6063769703 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3012538 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD | F07182064 | 01 |
| KY | KY BOARD OF NURSING | 3012538 | 01 |
| 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 |
2157 S HIGHWAY 27 |
| City | STEARNS |
| State | KY |
| Zip Code | 42647-6297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134606403 | Hope Primary & Urgent Care Pllc | Clinic/Center | 2157 S Highway 27, Stearns, KY 42647-6297 | 2018-07-19 |
| 1033745922 | Dana Sharp | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2020-03-23 |
| 1467084822 | Allison Dawn Johnston | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2020-02-04 |
| 1154960169 | Adrionna Simpson | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2019-12-23 |
| 1013550060 | Stephanie Marie Sumner | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2019-10-22 |
| 1124597174 | Marti Alex Biggerstaff | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282642 | Joshua W Sharp | Registered Nurse | 22 Doc West Rd, Stearns, KY 42647 | 2020-07-16 |
| 1598235996 | Burgess Drug Store Inc | Pharmacy | 2157 S. Hwy 27, Ste # 2, Stearns, KY 42647 | 2018-11-28 |
| 1700227147 | James Carroll Corder | Nurse Practitioner | 2157 S Hwy 27, Stearns, KY 42647 | 2013-07-15 |
| 1952532939 | Mccreary County Schools | Local Education Agency (LEA) | 120 Raider Way, Stearns, KY 42647-6110 | 2009-08-07 |
| 1912042060 | Lake Cumberland District Health Dept | Public Health or Welfare | 400 Raider Way, Stearns, KY 42647-6110 | 2007-02-20 |
| 1811031271 | Lake Cumberland District Health Dept | Public Health or Welfare | 180 Raider Way, Stearns, KY 42647-6110 | 2007-02-19 |
| 1952959132 | Cumberland Family Medical Center, Inc. | Clinic/Center | 180 Raider Way, Stearns, KY 42647-6110 | 2019-08-30 |
| 1124676523 | Cumberland Family Medical Center, Inc. | Clinic/Center | 400 Raider Way, Steams, KY 42647-6110 | 2019-08-28 |
| 1881954360 | Sharen Hill | Developmental Therapist | 66 Water Plant Rd, Stearns, KY 42647-6115 | 2012-05-18 |
| 1740540343 | Karen Stephens | Developmental Therapist | 145 Water Plant Rd, Stearns, KY 42647-6115 | 2012-05-17 |
| Find all providers in zip 42647 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700227147 | James Carroll Corder | Nurse Practitioner | 2157 S Hwy 27, Stearns, KY 42647 | 2013-07-15 |
| 1033745922 | Dana Sharp | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2020-03-23 |
| 1467084822 | Allison Dawn Johnston | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2020-02-04 |
| 1154960169 | Adrionna Simpson | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2019-12-23 |
| 1013550060 | Stephanie Marie Sumner | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2019-10-22 |
| 1124597174 | Marti Alex Biggerstaff | Nurse Practitioner | 2157 S Highway 27, Stearns, KY 42647-6297 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| 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.