Jenna Wilson, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2908 Issued in FL

Practice address

8551 W Sunrise Blvd Ste 206
Plantation, FL 33322-4007

Phone

(954) 300-1219

NPI assigned

Jul 26, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1033633607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 W SUNRISE BLVD STE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 W SUNRISE BLVD STE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224007",
            "telephone_number": "954-300-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Nova Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333177404",
            "country_code": "US",
            "telephone_number": "954-281-2895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Dumornay M D P a
• Yaneque Wilson-Kennedy, APRN
• Carolyn Freeman Wilson, LCSW
• Drina Wilson
• Hobson Irving Wilson, REGISTERED MHC INTER
• Marsha Patrice Wilson
• Mildred Thomas Wilson, R.PH.
• Wilton Medical Supply LLC
• Ortal Winer
• Marcela Alejandra Winter, APRN

• Marriage & Family Therapist in Plantation, FL
• Providers in Plantation, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.