Jennifer Lynn Wilson, APRN-RX, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2089 Issued in HI

Practice address

1401 S Beretania St Ste 400
Honolulu, HI 96814-1872

Phone

(808) 206-5301

Fax

(808) 200-3785

NPI assigned

Mar 22, 2016

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEDCCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Innovations LLC

  • Anesthesiology Physician
  • Honolulu, HI
  • NPI 1386965762
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1497117162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141872",
            "telephone_number": "808-206-5301",
            "fax_number": "808-200-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141872",
            "telephone_number": "808-206-5301",
            "fax_number": "808-200-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN-RX, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyma B Wilson, PSY.D.
• Delanya Wilson, OTD, OTR
• Freddielynn Wilson
• Gina Wilson
• Gregory B Wilson, M.D.
• Kevin Lemar Wilson
• Loren Lee Wilson, RPH
• Lori N Wilson
• Mary E Wilson, RN, BSN
• Nicole Kaiulani Dorothee Wilson, MAT

• Family Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.