Jennifer J Wilson, LPN is a
Licensed Practical Nurse based in Page, Arizona. Jennifer J Wilson is licensed to practice in Arizona (license number LP046189) and her current practice location is
1801 N. Navajo Dr., Page, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 608-4200.
NPI number for Jennifer J Wilson is 1336470095 and her current mailing address is Po Box 1927, Page, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336470095.
Provider's Profile
Full Name | Jennifer J Wilson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1801 N. Navajo Dr., Page, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336470095
- Provider Enumeration Date: 01/20/2010
- Last Update Date: 01/20/2010
Medical Identifiers
Medical identifiers for Jennifer J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336470095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP046189 (Arizona) | 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. Jennifer J 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 |
Jennifer J Wilson, LPN Po Box 1927, Page, AZ 86040-1927 Ph: () - | Jennifer J Wilson, LPN 1801 N. Navajo Dr., Page, AZ 86040 Ph: (928) 608-4200 |
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