Jeanine Parks Wilson, MSN

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

RN145211 Issued in GA

Practice address

1350 Walton Way
Neonatal Intensive Care Unit
Augusta, GA 30901-2612

Phone

(706) 774-2591

NPI assigned

Jul 16, 2008

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)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1386808574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SAINT JULIAN PL",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608795",
            "telephone_number": "803-278-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "address_2": "NEONATAL INTENSIVE CARE UNIT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEANINE",
        "middle_name": "PARKS",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "GA",
            "license": "RN145211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Leigh Wilson, PA-C
• Deborah Marie Wilson, LPC, EDD
• Deshawn E Wilson
• Diane R Wilson, PT
• Griselda Wilson, PHARMD
• Jeremiah J Wilson, MD
• Karen Wilson, CRNA
• Karissa King Wilson, MD
• Katrina Wilson, FNP
• Ken Wilson

• Neonatal Intensive Care Registered Nurse in Augusta, GA
• Providers in Augusta, GA by specialty
• Neonatal Intensive Care Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.