JENNIFER SUZETTE WILSON


Address: 206 Rescia Ave, Rainbow City, AL 35906-5933
Phone: 2564137154

JENNIFER SUZETTE WILSON (NPI# 1982063988) 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) 1982063988
Entity Type Individual
Full Name JENNIFER SUZETTE WILSON
Other Name JENNIFER SUZETTE BYARS
Credential ARNP (PMHNP)
Practice Address 206 Rescia Ave
Rainbow City
AL 35906-5933
Practice Telephone 2564137154
Mailing Telephone 2564137154
Enumeration Date 2016-02-18
Last Update Date 2017-01-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
1-076818 CRNP AL Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP9394055 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 206 RESCIA AVE
City RAINBOW CITY
State AL
Zip Code 35906-5933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760855001 Sheila Mccamy Social Worker 206 Rescia Ave, Rainbow City, AL 35906-5933 2015-11-09
1124150164 Maria A Stiles Clinic/Center 206 Rescia Ave, Rainbow City, AL 35906-5933 2007-03-12
1285720664 Carrie Michele Jackson Dietitian, Registered 206 Rescia Ave, Rainbow City, AL 35906-5933 2006-10-05
1780793638 Jerry Michael Bynum Psychologist 206 Rescia Ave, Rainbow City, AL 35906-5933 2006-08-30
1093822371 Karen Anne Whisenant Nurse Practitioner 206 Rescia Ave, Rainbow City, AL 35906-5933 2006-08-24
1083636336 Thomas D. Johnson Social Worker 206 Rescia Ave, Rainbow City, AL 35906-5933 2006-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720563026 Alabama Home Health Care Providers, Inc Registered Nurse 3542 Rainbow Drive, Rainbow City, AL 35906 2018-10-02
1578061271 Restoring Hope Professional Counseling, LLC Counselor 3224 Rainbow Drive, Suite 4, Rainbow City, AL 35906 2018-01-28
1881888527 April R. King Optometrist 115 W Grand Ave Ste 120, Rainbow City, AL 35906 2007-09-05
1609960269 Sheila Prince Raines Pharmacist 3331 Rainbow Drive, Rainbow City, AL 35906 2006-10-03
1447365721 Alabama Family Foot Clinic PC Podiatrist 107 Church Street, Rainbow City, AL 35906 2006-08-20
1740218890 Regina K. Phillips Family Medicine 113 Rainbow Industrial Blvd, Suite B, Rainbow City, AL 35906 2006-06-29
1689610727 Myrtell Lorraine Cantrell Physician Assistant 99 Boyd Place, Rainbow City, AL 35906 2006-06-20
1720060247 Thomas Kevin Lackey Anesthesiology 3804 Rainbow Dr, Rainbow City, AL 35906 2005-11-18
1750792024 Camellia Hospice of Northeast Alabama, LLC Hospice Care, Community Based 101 Church St, Rainbow City, AL 35906 2014-05-08
1003380668 Kimberly Crawford Speech-Language Pathologist 3803 Rainbow Dr, Rainbow City, AL 35906-3025 2019-01-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1003437880 Kathryn Nicole Logan Nurse Practitioner 183 Little Doe Ln, Wetumpka, AL 36093-3093 2020-05-02
1831740729 Chloe J Law Nurse Practitioner 3000 Southlake Park Ste 1000, Hoover, AL 35244-3293 2019-09-23
1528526704 Deangelo Cartez Cooper Nurse Practitioner 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 2019-03-07
1861965493 Taylor Barrett Nurse Practitioner 740 Forrest Ave, Gadsden, AL 35901-3639 2019-01-07
1942776695 Brittany Ellen Kesten Nurse Practitioner 185 Whitesport Dr Sw Ste 5, Huntsville, AL 35801-6487 2018-10-21
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Competitor

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City RAINBOW CITY
Zip Code 35906

Improve Information

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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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