Jean Wilson, FNP-B.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005315 Issued in NC

Practice address

319 Stanley Ave
Bayonne, NJ 07002-5068

Phone

(336) 740-0897

Fax

(888) 979-8335

NPI assigned

Jul 29, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Integrity Home Visits, Inc

  • Registered Nurse
  • Brooklyn, NY
  • NPI 1407199672
  NPD (past) Authorized official

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1740568450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 STANLEY AVE",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025068",
            "telephone_number": "336-740-0897",
            "fax_number": "888-979-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 STANLEY AVE",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025068",
            "telephone_number": "336-740-0897",
            "fax_number": "888-979-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEAN",
        "credential": "FNP-B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R127999",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005315",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00418200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F337917",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R127999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005409",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadika Wignarajan, M.D.
• William Tan, MD, PA
• Lisa G. Williams, APN
• Richard Alexander Williams, MD
• Thaddeus Marc Wilmanski, MSPT
• Patrice Wilson, PTA
• Windmill Alliance Inc
• Windmill Alliance Inc
• Windmill Alliance Inc.
• Windmill Alliance Inc.

• Family Nurse Practitioner in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.