MRS. SUSAN THOMPSON WILSON PA-C - NPI 1336232008 - Physician Assistant in Jacksonville, FL

Q: What is Susan Wilson's NPI number?

The NPI number for Susan Wilson is 1336232008. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Susan Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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About Mrs. Susan Thompson Wilson Pa-c NPPES

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

MRS. SUSAN THOMPSON WILSON PA-C (NPI 1336232008) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9101471) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1336232008

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. SUSAN THOMPSON WILSONCredential: PA-C

Location Address1833 BOULEVARDJacksonville, FL 32206

Mailing Address5220 Ortega Glen Dr.Jacksonville, FL 32210 · (904) 908-0778

Phone(904) 232-2751

Fax(904) 301-2502

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336232008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9101471

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1833 BOULEVARD, Jacksonville, FL 32206

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Other Providers at the Same Location NPPES 20

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

DR. CLYDE WHITLEY VICK III MD

Radiology (Diagnostic Radiology)