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JEREMY MICHAEL WILSON
NPI 1417787169
Student in an Organized Health Care Education/Training Program in Yucaipa, CA

Active since August 07, 2024
33353 YUCAIPA BLVD, YUCAIPA, CA 92399(951) 465-3664 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Michael Wilson NPPES

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

JEREMY MICHAEL WILSON (NPI 1417787169) is an individual student in an organized health care education/training program in Yucaipa, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1417787169
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY MICHAEL WILSON
Location Address33353 YUCAIPA BLVDYucaipa, CA 92399-2018
Mailing Address1907 Fitzgerald AveSan Jacinto, CA 92583-6068 · (410) 279-1209
Phone(951) 465-3664
Sole ProprietorNo
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1417787169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
33353 YUCAIPA BLVD, Yucaipa, CA 92399
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Other Providers at the Same Location NPPES 15

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

KAMPHOUNE SYPHENGPHETH
Marriage & Family Therapist
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (951) 465-3664
DR. JAMES ANDREW WASHINGTON III M.D.
Pediatrics (Neonatal-Perinatal Medicine)
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (909) 790-5071
LANCE DEREK DELGADO
Counselor (Mental Health)
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (951) 465-3664
MRS. CHRISTY LEE GORDEN MD
Pediatrics
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (909) 790-7900
MR. ARMANDO DAVALOS JR. B.S.
Community Health Worker
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (951) 357-6926
DURNIEL BARRERA
Counselor
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (951) 465-3664
ROXANA SANCHEZ PINEDA
Community Health Worker
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (951) 465-3664
TARAE NIJELLE DAWSON
Social Worker (Clinical)
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (951) 465-3664

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 Jeremy Wilson's NPI number?

The NPI number for Jeremy Wilson is 1417787169. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Jeremy Wilson located?

Jeremy Wilson practices at 33353 Yucaipa Blvd, Yucaipa, CA 92399. The listed phone number is (951) 465-3664.

What is Jeremy Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeremy Wilson was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.