Individual provider · Type 1 NPI
Jaclyn Plaice Wilson, WHNP
Nurse Practitioner · Charlotte, NC
Practice location
6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286
Mailing address
PO Box 604136
Charlotte, NC 28260-4136
Other practice locations
- 1140 Saluda St, Rock Hill, SC 29730-6225 · (803) 984-7420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 20082 (SC) |
| Nurse Practitioner Primary | 363L00000X | 5015179 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1346603941
Jaclyn Plaice Wilson, WHNP's National Provider Identifier is 1346603941, issued on Mar 31, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 7, 2023.