Jennifer L Wilson
Pediatric Adolescent Medicine | Female
Jennifer L Wilson is a Lexington, Kentucky based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Jennifer L Wilson is
3050 Harrodsburg Rd, Ste 100, Lexington, Kentucky - 40503-2747. She can be contacted on phone at
859-277-6102 and fax number 859-977-0237.
Jennifer L Wilson is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer L Wilson is
1043321748 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 23 Oct, 2014.
Jennifer L Wilson license number is
41107 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
Jennifer L Wilson specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Jennifer L Wilson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Jennifer L Wilson |
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| Gender : | Female |
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Business Address:
Jennifer L Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3050 Harrodsburg Rd, Ste 100
Lexington, KY, 40503-2747
United States |
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| Phone Number : | 859-277-6102 |
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| Fax Number : | 859-977-0237 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043321748 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2006 |
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| Last Updated On : | 23 Oct, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer L Wilson are as mentioned. Primary taxonomy code for Jennifer L Wilson is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 052858 | GA |
| 208000000X | Pediatrics | No | 41107 | KY |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 41107 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer L Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| G52858 | MEDICAID | SC | |
| 135542874A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3050 Harrodsburg Rd, Ste 100
Lexington, KY, 40503-2747
United States |
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| Phone Number : | 859-277-6102 |
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| Fax Number : | 859-977-0237 |
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Business Location:
Patients can refer following map for directions to
Jennifer L Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.