Jennie Lynn Wilson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2881212 Issued in FL

Practice address

2919 W Swann Ave Ste 400a
Tampa, FL 33609-4082

Phone

(813) 871-2959

Fax

(813) 877-8891

NPI assigned

Jan 18, 2015

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)

Enrolled

State licenses

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1750770442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE STE 400A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094082",
            "telephone_number": "813-871-2959",
            "fax_number": "813-877-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE STE 400A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094082",
            "telephone_number": "813-871-2959",
            "fax_number": "813-877-8891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26838 Tanic Dr",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335444617",
            "country_code": "US",
            "telephone_number": "813-991-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-18",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2881212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Nicole Wilson, BS
• Ivy Wilson, MD
• Jaelynn Wilson
• James Gordon Wilson II, D.M.D.
• Jason Wilson, MD
• Jennifer Wilson
• Joyce A Wilson
• Kassi Lee Wilson, PNP-PC
• Kayla Brishaun Wilson
• Kaylee Ann Wilson

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.