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JESSICA WILSON
NPI 1003526625
Technician - Attendant Care Provider in Elizabethton, TN

Active since December 05, 2022
1717 SIAM RD, ELIZABETHTON, TN 37643(423) 676-0188 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA WILSON (NPI 1003526625) is an individual attendant care provider provider in Elizabethton, Tennessee and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1003526625
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameJESSICA WILSON
Location Address1717 SIAM RDElizabethton, TN 37643-4839
Mailing Address1717 Siam RdElizabethton, TN 37643-4839 · (423) 676-0188
Phone(423) 676-0188
Sole ProprietorYes
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1003526625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
1717 SIAM RD, Elizabethton, TN 37643
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wilson's NPI number?

The NPI number for Jessica Wilson is 1003526625. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Jessica Wilson located?

Jessica Wilson practices at 1717 Siam Rd, Elizabethton, TN 37643. The listed phone number is (423) 676-0188.

What is Jessica Wilson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Jessica Wilson was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.