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

Jeanette Elizabeth Wilson, MD

Individual provider Family Medicine Physician · NPI 1376926865

Jeanette Elizabeth Wilson, MD is a Family Practice in Saint Clair Shores, Michigan. Qualified in 2015, 11 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
Specialties on file
2
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

21099 Masonic Blvd
Saint Clair Shores, MI 48082
Phone: (586) 296-6213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24911 Little Mack Ave, Saint Clair Shores, MI 48080-3200 — (586) 777-2050

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301108210 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301108210 (MI)

Record details

NPI number1376926865
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2015
Last updated in NPPESJune 26, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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