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

Jessica Wilson

Individual provider Registered Dietitian · NPI 1164086617

Jessica Wilson is a Registered Dietitian in Hewlett, New York. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1200 W Broadway Unit 2
Hewlett, NY 11557-1913
Phone: (209) 405-0455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1164086617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2019
Last updated in NPPESDecember 7, 2020
Certification dateNovember 27, 2020
Mailing address3215 53rd Pl, Woodside, NY 11377-1925

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