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

Jennifer M Wilson

Individual provider Licensed Vocational Nurse · NPI 1053663682

Jennifer M Wilson is a Licensed Vocational Nurse in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

4736 Victoria Ave
Riverside, CA 92507-5660
Phone: (951) 214-8775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 212974 (CA)

Record details

NPI number1053663682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 5, 2012
Last updated in NPPESMarch 26, 2013
Mailing addressPo Box 5595, Newport Beach, CA 92662-5595

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