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).
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 |
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 |
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 |
1770012775 | Jennifer Wilson | Registered Nurse | 3902 Henderson Blvd Ste 202, Tampa, FL 33629-5034 | 2017-06-05 |
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 |
Street Address |
206 RESCIA AVE |
City | RAINBOW CITY |
State | AL |
Zip Code | 35906-5933 |
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 |
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 |
Find all providers in zip 35906 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
1316565336 | Alisha Hamidian | Nurse Practitioner | 1229 County Road 512, Valley Head, AL 35989-4926 | 2020-07-07 |
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 |
1295217198 | Latisha Ali | Nurse Practitioner | 3000 Riverchase Galleria Ste 500, Hoover, AL 35244-2365 | 2018-09-06 |
Find all providers with the same taxonomy |
City | RAINBOW CITY |
Zip Code | 35906 |
Please comment or provide details below to improve the information on JENNIFER SUZETTE 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.