JESSICA LAUREN WILSON (NPI# 1467068411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467068411 |
| Entity Type | Individual |
| Full Name | JESSICA LAUREN WILSON |
| Practice Address |
1925 Brady Ave Arbutus MD 21227-4109 |
| Practice Telephone | 3023635363 |
| Mailing Telephone | 3023635363 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 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 |
| 1073915815 | Jessica Wilson | Licensed Practical Nurse | 1292 County Road 182, Kitts Hill, OH 45645-9081 | 2014-09-24 |
| Street Address |
1925 BRADY AVE |
| City | ARBUTUS |
| State | MD |
| Zip Code | 21227-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618600 | Cynthia Wilson | Nutritionist | 1812 Wetherbourne Ct, Bowie, MD 20721-2772 | 2020-10-31 |
| 1568060903 | Apple Wellness and Nutrition Center. LLC | Nutritionist | 6132 Wheatland Rd, Baltimore, MD 21228-2762 | 2020-10-16 |
| 1508489345 | Contemporary Beauty and Wellness Healing Hands | Nutritionist | 5557 Baltimore Ave Ste 500-1028, Hyattsville, MD 20781-1922 | 2020-05-27 |
| 1487201596 | Samantha Louie | Nutritionist | 14320 Potomac Heights Ln, Rockville, MD 20850-3844 | 2019-08-22 |
| 1841851292 | Adjoa Oriyomi | Nutritionist | 3114 Needleleaf Ln, Springdale, MD 20774-2518 | 2019-06-26 |
| 1275017063 | Ericka Evans | Nutritionist | 3509 W Mulberry St, Baltimore, MD 21229-3041 | 2018-09-18 |
| 1275022493 | Megan Copeland | Nutritionist | 40173 Golden Beach Rd, Mechanicsville, MD 20659-6081 | 2018-05-02 |
| 1033627468 | Keri Connell | Nutritionist | 4801 Dorsey Hall Dr Ste 201, Ellicott City, MD 21042-7749 | 2018-01-19 |
| 1487193314 | Lily Assefa | Nutritionist | 11306 College View Dr, Silver Spring, MD 20902-2529 | 2017-02-12 |
| 1306382601 | Chimene Castor | Nutritionist | 6218 Black Cherry Circle, Columbia, MD 21045 | 2017-01-10 |
| Find all providers with the same taxonomy | ||||
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| 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.