Individual provider · Type 1 NPI

Abby Jan Wilson, FNP-BC, RD, CDCES

Family Nurse Practitioner · Blackfoot, ID

NPI number 1033544580 Active

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XD-795 (ID)
Family Nurse Practitioner Primary 363LF0000X3771381 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1033544580

Abby Jan Wilson, FNP-BC, RD, CDCES's National Provider Identifier is 1033544580, issued on Sep 3, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blackfoot, ID. The record was last updated on Aug 11, 2026.