Jordan Reed Wilson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-151796 Issued in AL

Practice address

368 Old Ferry Rd
Jasper, AL 35503-8154

Phone

(205) 435-3764

NPI assigned

Sep 9, 2021

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

Other names 1

• Miss Jordan Wallace Reed Former name

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1609545938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2249",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355022249",
            "telephone_number": "205-435-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 OLD FERRY RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355038154",
            "telephone_number": "205-435-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JORDAN",
        "middle_name": "REED",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-151796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "REED",
            "middle_name": "WALLACE",
            "prefix": "MISS",
            "credential": "NA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Bryant Williams, M.D.
• Emily Williams, M.D.
• Lindsay Williams, PT, DPT
• Steven Walker Williams, CRNA
• Taylor J Williams, CRNA
• Margaret Rose Wilson, M.D.
• Alaina Danielle Wisdom, DPT
• Terry Paul Wood
• Bill Yates, MD
• Alexander Joseph Young, LMSW

• Registered Nurse in Jasper, AL
• Providers in Jasper, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.