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JENNIFER KELLY WILSON DNP, RN, CPNP-PC
NPI 1093581423
Nurse Practitioner - Pediatrics in Brookline, MA

Active since November 27, 2023
1600 BEACON ST APT 312, BROOKLINE, MA 02446(203) 339-2161 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Kelly Wilson Dnp, Rn, Cpnp-pc NPPES

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

JENNIFER KELLY WILSON DNP, RN, CPNP-PC (NPI 1093581423) is an individual pediatrics provider in Brookline, Massachusetts, licensed in Massachusetts (2363283) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1093581423
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNIFER KELLY WILSONCredential: DNP, RN, CPNP-PC
Location Address1600 BEACON ST APT 312Brookline, MA 02446-2223
Mailing Address1600 Beacon St Apt 312Brookline, MA 02446-2223 · (203) 339-2161
Phone(203) 339-2161
Sole ProprietorNo
Enumeration DateNovember 27, 2023
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1093581423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · 2363283
1600 BEACON ST APT 312, Brookline, MA 02446
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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 Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1093581423. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 1600 Beacon St Apt 312, Brookline, MA 02446. The listed phone number is (203) 339-2161.

What is Jennifer Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.