SHUNDRA WILSON FNP
NPI 1619346822
Nurse Practitioner - Family in Jackson, MS

Active since September 17, 2015
350 W WOODROW WILSON AVE, JACKSON, MS 39213(601) 984-5615 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 28, 2015, Nov 16, 2015 (2 updates tracked since 2015).

  • Individual
  • Female
  • Nurse Practitioner
  • Family

About SHUNDRA WILSON

This page provides the complete NPI Profile along with additional information for Shundra Wilson, a provider established in Jackson, Mississippi with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1619346822 assigned on September 2015. The practitioner's primary taxonomy code is 363LF0000X with license number R805409 (MS). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1619346822
Provider Name
SHUNDRA WILSON FNP
Gender
Female
Entity Type
Individual
Location Address
350 W WOODROW WILSON AVE JACKSON, MS 39213
Location Phone
(601) 984-5615
Mailing Address
2500 NORTH STATE STREET JMM ROOM 2525 JACKSON, MS 39216
Mailing Phone
(601) 984-6426
Mailing Fax
(601) 984-6439
Is Sole Proprietor?
No
Enumeration Date
09-17-2015
Last Update Date
12-28-2015
Code Navigator

A nurse practitioner (NP) like Shundra Wilson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R805409
License State
MS

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
451427YJ5DMEDICARE PIN (08)MS 
07900514MEDICAID (05)MS 

Reviews for SHUNDRA WILSON FNP

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619346822, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 6 + 4 + 1 + 2 + 8 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1619346822.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Point of Service
350 W WOODROW WILSON AVE, SUITE 611
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Advanced Practice Midwife
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 611
JACKSON, MS 39213
Pharmacist (Pharmacotherapy)
350 W WOODROW WILSON AVE, SUITE 202
JACKSON, MS 39213
Nurse Practitioner (Women's Health)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Preventive Medicine (Public Health & General Preventive Medicine)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pharmacist
350 W WOODROW WILSON AVE, CARDIOLOGY - HEART FAILURE DISEASE MANAGEMENT CLINIC
JACKSON, MS 39213
Dentist (General Practice)
350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL, SUITE 3516
JACKSON, MS 39213
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
350 W WOODROW WILSON AVE, SUITE 479
JACKSON, MS 39213
Pharmacist
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Optometrist
350 W WOODROW WILSON AVE, SUITE 3110
JACKSON, MS 39213
Clinic/Center (Community Health)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Social Worker (Clinical)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 1600
JACKSON, MS 39213
Speech-Language Pathologist
350 W WOODROW WILSON AVE, COMMUNICATIVE SCIENCES
JACKSON, MS 39213
Family Medicine
350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213
Clinic/Center
350 W WOODROW WILSON AVE, SUITE 615
JACKSON, MS 39213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619346822, enumerated as an "individual" on September 17, 2015.

The provider is located at 350 W WOODROW WILSON AVE JACKSON, MS 39213 and the phone number is (601) 984-5615.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.