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

Jennifer M Wilson

Individual provider Registered Nurse · NPI 1720545049

Jennifer M Wilson is a Registered Nurse in Spring Valley, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

17 Ridge Ave
Spring Valley, NY 10977-5407
Phone: (718) 828-2666
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 332866 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 332866 (NY)

Record details

NPI number1720545049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2019
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

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