Jessica Wilson, DHS is a
Licensed Vocational Nurse based in Glen Carbon, Illinois. Jessica Wilson is licensed to practice in Illinois (license number 043.116724) and her current practice location is
27 Auerbach Pl, Glen Carbon, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 205-4242.
NPI number for Jessica Wilson is 1629729462 and her current mailing address is 27 Auerbach Pl, Glen Carbon, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629729462.
Provider's Profile
Full Name | Jessica Wilson |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 27 Auerbach Pl, Glen Carbon, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629729462
- Provider Enumeration Date: 01/13/2022
- Last Update Date: 01/13/2022
Medical Identifiers
Medical identifiers for Jessica Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629729462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 043.116724 (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. Jessica 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 |
Jessica Wilson, DHS 27 Auerbach Pl, Glen Carbon, IL 62034-1596 Ph: (618) 205-4242 | Jessica Wilson, DHS 27 Auerbach Pl, Glen Carbon, IL 62034-1596 Ph: (618) 205-4242 |
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