JENNIFER WILSON (NPI# 1770012775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770012775 |
| Entity Type | Individual |
| Full Name | JENNIFER WILSON |
| Practice Address |
3902 Henderson Blvd Ste 202 Tampa FL 33629-5034 |
| Practice Telephone | (813) 412-7190 |
| Mailing Telephone | 8134127190 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN933005 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112013 | Jennifer Rockell Wilson | Case Manager/Care Coordinator | 450 S Venoy Rd, Westland, MI 48186-7805 | 2020-04-08 |
| 1023577665 | Jennifer Marie Wilson | Social Worker | 9660 Bend Dr, Jenison, MI 49428-9525 | 2019-03-13 |
| 1720545049 | Jennifer M Wilson | Registered Nurse | 17 Ridge Ave, Spring Valley, NY 10977-5407 | 2019-02-22 |
| 1528533726 | Jennifer S. Wilson | Specialist/Technologist | 216 Cody Ct, Clarksville, TN 37043-5897 | 2018-10-04 |
| 1750881488 | Jennifer Michele Wilson | Licensed Vocational Nurse | 20606 N Interstate 35, West, TX 76691-1812 | 2018-02-19 |
| 1942725700 | Jennifer Lynnette Wilson | Physician Assistant | 282 Equestrian Way, Raeford, NC 28376-7721 | 2017-08-13 |
| 1548782543 | Jennifer Wilson | Nurse Practitioner | 4665 W Atlantic Ave Ste B, Delray Beach, FL 33445-3800 | 2017-07-11 |
| 1174069694 | Jennifer Wilson | Behavior Technician | 2014 Quail Run Dr Ne, Albuquerque, NM 87122-1100 | 2017-01-07 |
| 1033579396 | Jennifer Wilson | Nurse Practitioner | 10001 S Eastern Ave Ste 407, Henderson, NV 89052-3908 | 2016-03-01 |
| 1659743458 | Jennifer Michelle Wilson | Physical Therapist | 716 Lighthouse Ave Ste G, Pacific Grove, CA 93950-2573 | 2015-10-20 |
| Street Address |
3902 HENDERSON BLVD STE 202 |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538988 | Marlo Caldevilla | Registered Nurse | 1108 N Franklin St Unit 305, Tampa, FL 33602-3801 | 2020-11-07 |
| 1013515576 | Lola Knowles | Registered Nurse | 12287 Armenia Gables Cir, Tampa, FL 33612-3940 | 2020-10-15 |
| 1861090854 | Ana Maria Polanco | Registered Nurse | 7937 Hampton Lake Dr, Tampa, FL 33647-3662 | 2020-10-13 |
| 1548867559 | Shannon N Turner-anderson | Registered Nurse | 19214 Early Violet Dr, Tampa, FL 33647-3685 | 2020-10-02 |
| 1043829773 | Kajal Patel | Registered Nurse | 4205 W Empedrado St, Tampa, FL 33629-6601 | 2020-07-28 |
| 1992314702 | Jaclyn Kramer | Registered Nurse | 19202 Cinnamon Ridge Way, Tampa, FL 33647-3623 | 2020-07-28 |
| 1588281026 | Chante Hamilton | Registered Nurse | 1312 W Lambright St, Tampa, FL 33604-6424 | 2020-07-01 |
| 1992320360 | Mercy Atuguba Kendry | Registered Nurse | 4001 W Swann Ave, Tampa, FL 33609-4434 | 2020-06-11 |
| 1144858655 | Emma Cook | Registered Nurse | 5358 Sylvester Loop, Tampa, FL 33610-5637 | 2020-03-30 |
| 1003444746 | Brandon Holmes | Registered Nurse | 106 Alameda Ct Unit 137, Tampa, FL 33609-2425 | 2020-03-30 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on JENNIFER WILSON.
| 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.