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

Jennifer Wilson

Individual provider Physical Therapy Assistant · NPI 1114576071

Jennifer Wilson is a Physical Therapy Assistant in Kenansville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
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Practice location Address checks out

209 Beasley St
Kenansville, NC 28349-8727
Phone: (910) 296-1561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A6251 (NC)

Record details

NPI number1114576071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2019
Last updated in NPPESSeptember 4, 2019

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