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

Jennifer Lee Wilson

Individual provider Developmental Therapist · NPI 1902423833

Jennifer Lee Wilson is a Developmental Therapist in Port Charlotte, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

13420 Boabadilla Ln
Port Charlotte, FL 33981-2951
Phone: (941) 286-9991
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1902423833
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2020
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address13420 Boabadilla Ln, Port Charlotte, FL 33981-2951

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