Individual provider · Type 1 NPI
Jean Wilson, FNP-B.C.
Family Nurse Practitioner · Bayonne, NJ
NPI number
1740568450
Active
Practice location
319 Stanley Ave
Bayonne, NJ 07002-5068
Fax (888) 979-8335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R127999 (MD) |
| Family Nurse Practitioner Primary | 363LF0000X | 5005315 (NC) |
| Nurse Practitioner | 363L00000X | 26NJ00418200 (NJ) |
| Nurse Practitioner | 363L00000X | F337917 (NY) |
| Nurse Practitioner | 363L00000X | R127999 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740568450
Jean Wilson, FNP-B.C.'s National Provider Identifier is 1740568450, issued on Jul 29, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bayonne, NJ. The record was last updated on Feb 16, 2015.