Individual provider · Type 1 NPI

Jennifer Nicole Wilson

Registered Nurse · Little Rock, AR

NPI number 1215850474 Active

Practice location

5240 Mabelvale Pike
Little Rock, AR 72209-1961

Mailing address

142 Hibiscus Dr
Maumelle, AR 72113-5816

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR076867 (AR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1215850474

Jennifer Nicole Wilson's National Provider Identifier is 1215850474, issued on Aug 3, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Little Rock, AR. The record was last updated on Aug 3, 2026.