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

Jacquetta Nicole Wilson, APRN

Individual provider Nurse Practitioner · NPI 1265073985

Jacquetta Nicole Wilson, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2019, 7 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3950 Kresge Way Ste 308
Louisville, KY 40207-4637
Phone: (502) 895-8911
Fax: (502) 895-8977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 Eastpoint Pkwy Ste 100, Louisville, KY 40223-4154 — (502) 210-4800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3013748 (KY)

Record details

NPI number1265073985
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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