Individual provider · Type 1 NPI

Jennifer Wilson, PA-C

Physician Assistant · Newport Beach, CA

NPI number 1902116866 Active

Practice location

520 Superior Ave Ste 360
Newport Beach, CA 92663-3668

Fax (949) 644-7852

Mailing address

PO Box 2493
Newport Beach, CA 92659-1493

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA21150 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902116866

Jennifer Wilson, PA-C's National Provider Identifier is 1902116866, issued on Oct 13, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newport Beach, CA. The record was last updated on May 10, 2018.