Jasmine Wilson, LPN is a
Licensed Practical Nurse based in Wood River, Illinois. Jasmine Wilson is licensed to practice in Illinois (license number 043129842) and her current practice location is
416 Whitelaw Ave, Wood River, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 741-0633.
NPI number for Jasmine Wilson is 1821840844 and her current mailing address is 416 Whitelaw Ave, Wood River, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821840844.
Provider's Profile
Full Name | Jasmine Wilson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 416 Whitelaw Ave, Wood River, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821840844
- Provider Enumeration Date: 04/03/2024
- Last Update Date: 04/18/2024
Medical Identifiers
Medical identifiers for Jasmine Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821840844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043129842 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmine Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jasmine Wilson, LPN 416 Whitelaw Ave, Wood River, IL 62095-1509 Ph: (618) 741-0633 | Jasmine Wilson, LPN 416 Whitelaw Ave, Wood River, IL 62095-1509 Ph: (618) 741-0633 |
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