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

Jessie Wilson

Individual provider Specialist · NPI 1669283412

Jessie Wilson is a Specialist in Moorhead, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1505 30th Ave S
Moorhead, MN 56560-5149
Phone: (218) 287-4338
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1669283412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address1547 30th Ave S, Moorhead, MN 56560-5149

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