Jennifer Wilson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

554310 Issued in NY

Practice address

94 Beacon Hills Dr N
Penfield, NY 14526-9536

Phone

(585) 313-3650

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1083969851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BEACON HILLS DR N",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269536",
            "telephone_number": "585-313-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BEACON HILLS DR N",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269536",
            "telephone_number": "585-313-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "554310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Joyce Willer, RN
• David D Williams, M.D.
• Elizabeth F Williams, LMHC
• Mary M Wilsch, M.D.
• Chawanna Nicole Wilson
• Mary Ann Wilson, LCSW-R
• Allyson Wise, D.O.
• Julie M. Wood, MS, PHD
• Nancy Yani, MD
• Patty Yarmel, PH.D.

• Registered Nurse in Penfield, NY
• Providers in Penfield, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.