JESSIE WILSON
NPI 1669283412
Specialist in Moorhead, MN

Active since January 20, 2025
1505 30TH AVE S, MOORHEAD, MN 56560(218) 287-4338 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessie Wilson NPPES

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

JESSIE WILSON (NPI 1669283412) is an individual specialist in Moorhead, Minnesota and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1669283412
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJESSIE WILSON
Location Address1505 30TH AVE SMoorhead, MN 56560-5149
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149
Sole ProprietorNo
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
NPI 1669283412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
1505 30TH AVE S, Moorhead, MN 56560

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.

Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560

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 Jessie Wilson's NPI number?

The NPI number for Jessie Wilson is 1669283412. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Jessie Wilson located?

Jessie Wilson practices at 1505 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 287-4338.

What is Jessie Wilson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jessie Wilson was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.