Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacqueline Deanna Wilson, MD

Individual provider Pediatrics Physician · NPI 1457678377

Dr. Jacqueline Deanna Wilson, MD is an Internal Medicine in Philadelphia, Pennsylvania. Graduated from Yale University School of Medicine in 2010, 16 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Trained at
Yale University School of Medicine
Licensed in
PA
In the registry since
2010
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3737 Market Street 9th Fl
Philadelphia, PA 19104-5548
Phone: (215) 662-8777
Fax: (215) 243-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD461194 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MD461194 (PA)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence MD461194 (PA)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence MD461194 (PA)

Record details

NPI number1457678377
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2010
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesADDICTION MEDICINE, PEDIATRIC MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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