Abby Jan Wilson, FNP-BC, RD, CDCES
Abby Jan Wilson, FNP-BC, RD, CDCES is a Nurse Practitioner in Blackfoot, Idaho. Qualified in 2025, 1 year ago. Licensed in Idaho.
- Years since qualifying
- 1
- Licensed in
- ID
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
98 Poplar StBlackfoot, ID 83221-1758
Phone: (208) 785-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 3771381 (ID) |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X · Licence D-795 (ID) |
Record details
| NPI number | 1033544580 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP-BC , RD , CDCES |
| Sole proprietor | No |
| NPI enumerated | September 3, 2013 |
| Last updated in NPPES | May 24, 2026 |
| Certification date | May 24, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Blackfoot
-
Allison Marotz, REGISTEREDDIETITIAN
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-3867
-
Camile Michaelson, RD, LD
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-4100
-
Kathy Puckett, RDLDCDE
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-4100
-
Jan Williamson, RD, LD
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-4100