KELLY MAUREEN WILSON NP
NPI 1396959201
Nurse Practitioner - Women's Health in Vallejo, CA

Q: What is Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1396959201. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Q: What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on May 14, 2024. 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.

Active since May 09, 2007

303 SACRAMENTO ST, VALLEJO, CA 94590(925) 887-5398 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Maureen Wilson Np NPPES

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

KELLY MAUREEN WILSON NP (NPI 1396959201) is an individual women's health provider in Vallejo, California, licensed in California (11350) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1396959201

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKELLY MAUREEN WILSONCredential: NP

Location Address303 SACRAMENTO STVallejo, CA 94590-5901

Mailing Address1700 Weaverly DrPetaluma, CA 94954-3732 · (510) 295-9765

Phone(925) 887-5398

Sole ProprietorYes

Enumeration DateMay 9, 2007

Last NPPES UpdateMay 14, 2024

NPPES CertifiedMay 14, 2024

✔ NPI 1396959201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 11350

303 SACRAMENTO ST, Vallejo, CA 94590

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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.

LORRAINE PAULE RN

Registered Nurse (Women's Health Care, Ambulatory)

303 SACRAMENTO ST
VALLEJO, CA 94590

Solano County (707) 643-4545

PLANNED PARENTHOOD SHASTA DIABLO INC

Clinic/Center (Community Health)

303 SACRAMENTO ST
VALLEJO, CA 94590

Solano County (707) 643-4545

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 Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1396959201. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Kelly Wilson located?

Kelly Wilson practices at 303 Sacramento St, Vallejo, CA 94590. The listed phone number is (925) 887-5398.

What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on May 14, 2024. 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.