Jessica Susan Wilson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11033425 Issued in FL

Practice address

345 Jupiter Lakes Blvd Ste 102
Jupiter, FL 33458-7100

Phone

(561) 972-6900

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Institute for Reproductive Medicine

  • Specialist
  • South Miami, FL
  • NPI 1437319654
  NPD (past)

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1881432375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LOCHA DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587733",
            "telephone_number": "203-815-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 JUPITER LAKES BLVD STE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587100",
            "telephone_number": "561-972-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9960 Central Park Blvd N Ste 275",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281706",
            "country_code": "US",
            "telephone_number": "561-549-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Daum Williams, MS,RD,LD
• Kayla Denise Willoughby
• Barbara Ann Wilmes
• Aubrey Logan Wilson
• Elizabeth Wilson, LMHC
• Taylor Nicole Wilson, PA-C
• Jane Korson Winn
• Luke Winter
• Samantha Kendra Winterrowd, M.D.
• Jamie F Wintz, LMHC

• Family Nurse Practitioner in Jupiter, FL
• Providers in Jupiter, 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 Jul 18, 2024; 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.