Individual provider · Type 1 NPI
Jordan Wilson
Specialist · Henderson, NV
NPI number
1023914066
Active
Practice location
155 E Galleria Dr
Henderson, NV 89011-1908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1023914066
Jordan Wilson's National Provider Identifier is 1023914066, issued on Oct 16, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Henderson, NV. The record was last updated on Oct 16, 2026.