Individual provider · Type 1 NPI

Jennifer L. Wilson

Pediatric Adolescent Medicine Physician · Lexington, KY

NPI number 1043321748 Active

Practice location

3050 Harrodsburg Rd, Ste 100
Lexington, KY 40503-2747

Call (859) 277-6102 Map

Fax (859) 977-0237

Mailing address

1221 S Broadway
Lexington, KY 40504-2701

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X41107 (KY)
Pediatrics Physician 208000000X052858 (GA)
Pediatric Adolescent Medicine Physician Primary 2080A0000X41107 (KY)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1043321748

Jennifer L. Wilson's National Provider Identifier is 1043321748, issued on Aug 31, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Lexington, KY. The record was last updated on Jan 5, 2024.