Jennifer Michele Wilson, LVN is a
Licensed Vocational Nurse based in West, Texas. Jennifer Michele Wilson is licensed to practice in Texas (license number 210280) and his current practice location is
20606 N Interstate 35, West, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 405-3313.
NPI number for Jennifer Michele Wilson is 1750881488 and his current mailing address is 163 Fm 2114, Aquilla, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750881488.
Provider's Profile
Full Name | Jennifer Michele Wilson |
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Gender | Male |
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Speciality | Licensed Vocational Nurse |
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Location | 20606 N Interstate 35, West, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750881488
- Provider Enumeration Date: 02/19/2018
- Last Update Date: 02/19/2018
Medical Identifiers
Medical identifiers for Jennifer Michele Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750881488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 210280 (Texas) | 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 Michele 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 Michele Wilson, LVN 163 Fm 2114, Aquilla, TX 76622-2412 Ph: (512) 202-5342 | Jennifer Michele Wilson, LVN 20606 N Interstate 35, West, TX 76691-1812 Ph: (254) 405-3313 |
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