Individual provider · Type 1 NPI

Jennifer Rebecca Wilde

Registered Nurse · Liberty Lake, WA

NPI number 1578425955 Active

Practice location

24244 E Desmet Rd
Liberty Lake, WA 99019-7609

Call (208) 420-7078 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X60076186 (WA)

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 1578425955

Jennifer Rebecca Wilde's National Provider Identifier is 1578425955, issued on Nov 24, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Liberty Lake, WA. The record was last updated on Nov 24, 2025.