JENNIFER M WILSON
NPI 1053663682
Licensed Vocational Nurse in Riverside, CA

Q: What is Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1053663682. It was assigned to this individual provider in the NPPES registry on October 5, 2012.

Q: What is Jennifer Wilson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 05, 2012

4736 VICTORIA AVE, RIVERSIDE, CA 92507(951) 214-8775 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer M Wilson NPPES

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

JENNIFER M WILSON (NPI 1053663682) is an individual licensed vocational nurse in Riverside, California, licensed in California (212974) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1053663682

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameJENNIFER M WILSON

Location Address4736 VICTORIA AVERiverside, CA 92507-5660

Mailing AddressPo Box 5595Newport Beach, CA 92662-5595 · (951) 214-8775

Phone(951) 214-8775

Sole ProprietorYes

Enumeration DateOctober 5, 2012

Last NPPES UpdateMarch 26, 2013

✔ NPI 1053663682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 212974

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4736 VICTORIA AVE, Riverside, CA 92507

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENAKA ELLISON

Licensed Vocational Nurse

4736 VICTORIA AVE
RIVERSIDE, CA 92507

Riverside County (951) 214-8775

OMEGA HEALTHCARE CONCIERGE

Nursing Care

4736 VICTORIA AVE
RIVERSIDE, CA 92507

Riverside County (951) 214-8775

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 Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1053663682. It was assigned to this individual provider in the NPPES registry on October 5, 2012.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 4736 Victoria Ave, Riverside, CA 92507. The listed phone number is (951) 214-8775.

What is Jennifer Wilson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.