Jennifer Ann Wilson

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Phone

(409) 548-1327

NPI assigned

Apr 16, 2018

Last updated

Apr 16, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1598252413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 LISA LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776406909",
            "telephone_number": "409-548-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-548-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Kirk Williams, MD
• Crystal Anai Williams, LPC-A
• Jules Williams Jr.
• Tracy Lane Williams, M.A.,LPC
• Anthony Tyler Williamson, O.D.
• Lamonica Rose Wilson, LVN
• Timothy Allen Winberg, LPC
• Winnie Community Hospital LLC (Riceland Diagnostic Health)
• Winnie-Stowell Hospital District (Sabine Heights Nursing and Rehabilitation Center)
• Roya Wood-Scott, D.D.S.

• Surgical Assistant in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.