MS. JENNIFER RENEE WILES FNP-BC
NPI 1104122134
Nurse Practitioner - Family in Durham, NC

Active since February 09, 2011
3673 HILLSBOROUGH RD., DURHAM, NC 27705(866) 389-2727 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jennifer Renee Wiles Fnp-bc NPPES

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

MS. JENNIFER RENEE WILES FNP-BC (NPI 1104122134) is an individual family provider in Durham, North Carolina, licensed in North Carolina (5005791) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1104122134
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JENNIFER RENEE WILESCredential: FNP-BC
Location Address3673 HILLSBOROUGH RD.Durham, NC 27705
Mailing Address14 Lorelei CtDurham, NC 27713-4495 · (919) 578-4853
Sole ProprietorNo
Enumeration DateFebruary 9, 2011
Last NPPES UpdateJune 16, 2014
NPI 1104122134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5005791
3673 HILLSBOROUGH RD., Durham, NC 27705

Other Identifiers 3

Medicaid201013390AIN
Medicare PINM400037862IN
Other000000704774IN · Anthem Bc/bs

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 Wiles's NPI number?

The NPI number for Jennifer Wiles is 1104122134. It was assigned to this individual provider in the NPPES registry on February 9, 2011.

Where is Jennifer Wiles located?

Jennifer Wiles practices at 3673 Hillsborough Rd., Durham, NC 27705. The listed phone number is (866) 389-2727.

What is Jennifer Wiles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wiles was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.