JUDITH RUTH WILSON NP
NPI 1275736191
Nurse Practitioner - Adult Health in Long Beach, CA

Active since June 07, 2007
1645 CLARK AVE UNIT 116, LONG BEACH, CA 90815(562) 961-9146(562) 961-9146 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Judith Ruth Wilson Np NPPES

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

JUDITH RUTH WILSON NP (NPI 1275736191) is an individual adult health provider in Long Beach, California, licensed in California (1340) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1275736191
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJUDITH RUTH WILSONCredential: NP
Location Address1645 CLARK AVE UNIT 116Long Beach, CA 90815-3807
Mailing Address1645 Clark Ave Unit 116Long Beach, CA 90815-3807 · (562) 961-9146 · Fax (562) 961-9146
Fax(562) 961-9146
Sole ProprietorYes
Enumeration DateJune 7, 2007
Last NPPES UpdateNovember 12, 2014
NPI 1275736191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · 1340
1645 CLARK AVE UNIT 116, Long Beach, CA 90815

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 Judith Wilson's NPI number?

The NPI number for Judith Wilson is 1275736191. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Judith Wilson located?

Judith Wilson practices at 1645 Clark Ave Unit 116, Long Beach, CA 90815. The listed phone number is (562) 961-9146.

What is Judith Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Judith Wilson was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.