Individual provider · Type 1 NPI
Jennifer Lynn Wilson, CRNP
Critical Care Neonatal Nurse Practitioner · Baltimore, MD
NPI number
1619951464
Active
Practice location
600 N Wolfe St, Cmcs 2 - Nicu
Baltimore, MD 21287-0005
Fax (410) 614-8834
Mailing address
616 Emerson Pl
Severna Park, MD 21146-3410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | R115360 (MD) |
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | R115360 (MD) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1619951464
Jennifer Lynn Wilson, CRNP's National Provider Identifier is 1619951464, issued on Dec 5, 2005. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Baltimore, MD. The record was last updated on Sep 11, 2025.