Individual provider · Type 1 NPI
Jeni Rachelle Wilson, AGACNP-BC
Gerontology Nurse Practitioner · Dallas, TX
NPI number
1114506920
Active
Practice location
8160 Walnut Hill Ln Ste 113
Dallas, TX 75231-4387
Fax (214) 750-3770
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 1034104 (TX) |
| Acute Care Nurse Practitioner | 363LA2100X | 1034104 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1034104 (TX) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1114506920
Jeni Rachelle Wilson, AGACNP-BC's National Provider Identifier is 1114506920, issued on Apr 7, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dallas, TX. The record was last updated on Aug 20, 2025.