MS. JENNIFER LYNN WILSON


Address: 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872
Phone: 8082065301

MS. JENNIFER LYNN WILSON (NPI# 1497117162) 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) 1497117162
Entity Type Individual
Full Name MS. JENNIFER LYNN WILSON
Credential APRN-RX, FNP-C
Practice Address 1401 S Beretania St Ste 400
Honolulu
HI 96814-1872
Practice Telephone 8082065301
Practice Fax Number 8082003785
Mailing Telephone 8082065301
Mailing Fax Number 8082003785
Enumeration Date 2016-03-22
Last Update Date 2016-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2089 HI Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1401 S BERETANIA ST STE 400
City HONOLULU
State HI
Zip Code 96814-1872

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407176688 John Robert Young Anesthesiology 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872 2010-06-10
1184260994 Jeffrey Viernes Clinical Nurse Specialist 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872 2019-11-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336746478 Ross Thomas Fujimori Pascual Pharmacist 750 Keeaumoku Street, Honolulu, HI 96814 2020-10-01
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1356823785 Tara Yamauchi-lum LLC Marriage & Family Therapist 615 Piikoi Street Suite 1109, Honolulu, HI 96814 2018-09-01
1992283980 Sonia Q. Cosio, D.d.s Dentist 1441 Kapiolani Blvd #518, Honolulu, HI 96814 2018-08-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1760954192 Mie Takizawa Lilavois Nurse Practitioner 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 2018-12-25
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Competitor

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City HONOLULU
Zip Code 96814

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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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