Jacqueline M Wilson, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN61219246 Issued in WA

Practice address

1201 N 175TH St
Shoreline, WA 98133-5064

Phone

(206) 401-3200

NPI assigned

Jan 10, 2025

Last updated

Jan 10, 2025By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1609686617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 NE 92ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981153472",
            "telephone_number": "425-213-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 175TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335064",
            "telephone_number": "206-401-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN61219246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayne Wilkins-Haigh, LMP
• William a. Burkhart PHD LLC
• Christina Williams
• Julie Williams
• Zan Williams, PT
• Lisa Winchell, ARNP, DNP
• Jonathan Winship
• Deborah Christina Winston, CDPT
• Kyle William Wisniewski, PTA
• Mary Jane Witmer

• General Practice Registered Nurse in Shoreline, WA
• Providers in Shoreline, WA by specialty
• General Practice Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.