JEAN WILDER (NPI# 1497079511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497079511 |
| Entity Type | Individual |
| Full Name | JEAN WILDER |
| Credential | NP |
| Practice Address |
17 Warren St Lowell MA 01852-2216 |
| Mailing Address |
585-597 Merrimack Street Lowell MA 01854 |
| Practice Telephone | 9783228500 |
| Practice Fax Number | 9784460248 |
| Mailing Telephone | 9783228500 |
| Mailing Fax Number | 9784460248 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
237180 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124158415 | Jean Laurel Wilder | Nurse Anesthetist, Certified Registered | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2007-03-06 |
| Street Address |
17 WARREN ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922079219 | Donald Miller | Family Medicine | 17 Warren St, Lowell, MA 01852-2216 | 2006-01-27 |
| 1679838270 | Gretchen Deangelo | Social Worker | 17 Warren St, Lowell, MA 01852-2216 | 2012-07-10 |
| 1306063623 | Paul Richard Carlberg | Counselor | 17 Warren St, Lowell, MA 01852-2216 | 2007-04-19 |
| 1447475785 | Lisa Najarian | Counselor | 17 Warren St, Lowell, MA 01852-2216 | 2007-04-13 |
| 1801914015 | Bharati Koli Rastogi | Dietitian, Registered | 17 Warren St, Lowell, MA 01852-2216 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187207 | Laura Jeannine Neal | Nurse Practitioner | 11399 Kelly Ln, Lowell, AR 72745-8643 | 2020-09-01 |
| 1578184693 | Desiree Lynn Hilborn | Nurse Practitioner | 638 Creekside Dr Apt 208, Lowell, IN 46356-7911 | 2020-04-29 |
| 1730741158 | Kenna Lea Wagner | Nurse Practitioner | 60 Lock St, Lowell, OH 45744-9023 | 2019-07-05 |
| 1184280091 | Joyce Gichana | Nurse Practitioner | 1001 Westford St Apt 14, Lowell, MA 01851-2741 | 2019-05-15 |
| 1760956536 | Melanie Burgess Dumont | Nurse Practitioner | 71 Jackson St Unit 313, Lowell, MA 01852-2178 | 2019-01-15 |
| 1992277214 | Jody Huck | Nurse Practitioner | 4010 Rainbow Rd, Lowell, OH 45744-7176 | 2018-12-27 |
| 1477077295 | Melissa Rose Stewart | Nurse Practitioner | 15896 Cow Face Rd, Lowell, AR 72745-9158 | 2017-08-02 |
| 1174071286 | Ruth Walsworth | Nurse Practitioner | 595 Pawtucket Blvd Ste 2, Lowell, MA 01854-2042 | 2016-09-18 |
| 1750634531 | Jill Irene Maddack | Nurse Practitioner | 4500 W 181st Ave, Lowell, IN 46356-0017 | 2012-10-18 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| Find all providers in LOWELL | ||||
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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.