JESSICA LEIGH WILSON


Address: 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203
Phone: 8037650871

JESSICA LEIGH WILSON (NPI# 1053661348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053661348
Entity Type Individual
Full Name JESSICA LEIGH WILSON
Other Name JESSICA LEIGH DOUBERLY
Credential PA
Practice Address 8 Richland Medical Park Dr Ste 400
Columbia
SC 29203
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8037650871
Practice Fax Number 8037659215
Mailing Telephone 8032967320
Mailing Fax Number 8032967330
Enumeration Date 2012-09-13
Last Update Date 2019-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3000 SC Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA9106699 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003127651B 05
FL 0065294-00 05
SC 3676PA 05

Other Providers JESSICA WILSON

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1467068411 Jessica Lauren Wilson Nutritionist 1925 Brady Ave, Arbutus, MD 21227-4109 2020-09-16
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1831749654 Jessica Keely Wilson Licensed Vocational Nurse 3356 County Road 313, Dublin, TX 76446-6631 2019-09-13
1629622162 Jessica Patreece Wilson Nurse Practitioner 7303 Brittney Lane, Kenly, NC 27542 2019-08-01
1346808623 Jessica Wilson Behavior Technician 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 2019-06-03
1336640820 Jessica Wilson Registered Nurse 25 Connecticut Ave, Midlothian, TX 76065-6747 2018-02-21
1427566934 Jessica N Wilson Behavior Technician 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 2018-01-18
1912447616 Jessica Wilson Nurse Practitioner 740 S Limestone J401, Lexington, KY 40536-0001 2017-02-28
1215387253 Jessica Evelynne Wilson Speech-Language Pathologist 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 2016-06-21
1295101061 Jessica Elaine Wilson Marriage & Family Therapist 983 Norumbega Dr, Monrovia, CA 91016-1826 2015-08-17

Office Location

Street Address 8 RICHLAND MEDICAL PARK DR STE 400
City COLUMBIA
State SC
Zip Code 29203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518935543 Edwin Lionel Schmidt Jr. Physician Assistant 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2006-03-08
1225671860 Mikaila Szwed Physician Assistant 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2019-10-28
1649761792 Palmetto Health University of South Carolina Medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2018-05-24
1649789462 Jennifer Lynn Fox Nurse Practitioner 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2017-09-25
1508386566 Benjamin Jacob Paulin Physician Assistant 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2017-06-21
1205211430 Katie L Fitzgerald Nurse Practitioner 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2015-07-29
1841427838 Jeri Lynn Long Nurse Practitioner 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2009-06-17
1821204363 Firas Fuad Mussa Surgery 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203 2007-05-14
1750412607 James M. Grimes Physician Assistant 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2007-03-09
1215071527 James Ryan Burke Surgery 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 2007-02-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619500691 Ivanka M Mora Physician Assistant 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 2020-02-18
1316579287 Christina Verzi Physician Assistant 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 2020-02-10
1225668064 Steven Ebers Physician Assistant 1201 International Dr, Columbia, MO 65202-1612 2020-01-21
1780228197 Jeremy M Barth Physician Assistant 5886 Morningbird Ln, Columbia, MD 21045-3508 2019-10-30
1730749920 Ann Marie Schlafly Physician Assistant 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 2019-06-19
1619532363 Casey Burner Skinner Physician Assistant 2126 Tugaloo Ave, Columbia, SC 29205-3330 2019-05-08
1205491040 Meghan Catherine Monk Physician Assistant 229 Route 87, Columbia, CT 06237-1050 2019-05-07
1124594999 Candace Rachel Skulkety Physician Assistant 612 Whaley St Apt 348, Columbia, SC 29201-6329 2018-10-19
1508346396 Hannah Marie Dewes Physician Assistant 3 Medical Park Rd #310, Columbia, SC 29203 2018-08-21
1295236438 Helen Mckinney Physician Assistant 234 Castlebury Dr, Columbia, SC 29229-7566 2018-02-22
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Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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