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

Jeremy Michael Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417787169

Jeremy Michael Wilson is a Student in an Organized Health Care Education/Training Program in Yucaipa, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

33353 Yucaipa Blvd
Yucaipa, CA 92399-2018
Phone: (951) 465-3664
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417787169
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 6, 2024

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