Jennifer L Wilson
Pediatrician Adolescent Medicine
3050 Harrodsburg Rd Ste 100
Lexington
, Kentucky 40503-2747
Jennifer L Wilson
Pediatrician Adolescent Medicine
3050 Harrodsburg Rd Ste 100
Lexington
, Kentucky 40503-2747
(859) 977-0237
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Jennifer L Wilson
- 3050 Harrodsburg Rd Ste 100
- Lexington, KY
- Zip : 40503-2747
- Fax : (859) 977-0237
- Phone : (859) 277-6102
Second Address
- Jennifer L Wilson
- 3050 Harrodsburg Rd Ste 100
- Lexington, KY
- Zip : 40503-2747
- Fax : (859) 977-0237
- Phone : (859) 277-6102
Reviews
FAQs
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What type of doctor is Jennifer L Wilson
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Is Jennifer L Wilson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 052858 | GA |
| N | 208000000X | Pediatrician | 41107 | KY |
| Y | 2080A0000X | Adolescent Medicine | 41107 | KY |
National Provider Identifier
| NPI | 1043321748 |
|---|---|
| Provider Name | Jennifer L Wilson |
| First Address | Lexington, KY 40503-2747 |
| Second Address | Lexington, KY 40503-2747 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 23/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 135542874A | (05) | GA |
| G52858 | (05) | SC |
| I12464 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.