JESSIE WILSON
NPI 1669283412
Specialist in Moorhead, MN
- Individual
- Female
- Specialist
About JESSIE WILSON
This page provides the complete NPI Profile along with additional information for Jessie Wilson, a provider established in Moorhead, Minnesota with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1669283412 assigned on January 2025. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1669283412 Verify this NPI
- Provider Name
- JESSIE WILSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1505 30TH AVE S MOORHEAD, MN 56560
- Location Phone
- (218) 287-4338
- Mailing Address
- 1547 30TH AVE S MOORHEAD, MN 56560
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-20-2025
- Last Update Date
- 01-20-2025
- Code Navigator
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669283412, enumerated as an "individual" on January 20, 2025.
The provider is located at 1505 30TH AVE S MOORHEAD, MN 56560 and the phone number is (218) 287-4338.
Specialist with taxonomy code 174400000X.
