Individual provider · Type 1 NPI

Jacqueline M. Wilson, RN

General Practice Registered Nurse · Shoreline, WA

NPI number 1609686617 Active

Practice location

1201 N 175th St
Shoreline, WA 98133-5064

Mailing address

2720 NE 92nd St
Seattle, WA 98115-3472

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XRN61219246 (WA)

General Practice Registered Nurse: Definition to come...

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About NPI 1609686617

Jacqueline M. Wilson, RN's National Provider Identifier is 1609686617, issued on Jan 10, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Shoreline, WA. The record was last updated on Jan 10, 2025.