Individual provider · Type 1 NPI
Jennifer Kelly Wilson, DNP, RN, CPNP-PC
Pediatric Nurse Practitioner · Brookline, MA
NPI number
1093581423
Active
Practice location
1600 Beacon St Apt 312
Brookline, MA 02446-2223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2363283 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1093581423
Jennifer Kelly Wilson, DNP, RN, CPNP-PC's National Provider Identifier is 1093581423, issued on Nov 27, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brookline, MA. The record was last updated on Nov 28, 2023.