1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Specialist
  6. NPI Profile

JEFFERSON WILSON
NPI 1821464645
Specialist in Philadelphia, PA

Active since August 16, 2015
909 WALNUT ST, SUITE 320L, PHILADELPHIA, PA 19107(215) 601-8976 Get Directions Write a Review

NPPES record last updated: August 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Wilson NPPES

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

JEFFERSON WILSON (NPI 1821464645) is an individual specialist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD454836) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1821464645
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJEFFERSON WILSON
Location Address909 WALNUT ST, SUITE 320LPhiladelphia, PA 19107-5211
Mailing Address909 Walnut St, Suite 320lPhiladelphia, PA 19107-5211 · (215) 601-8976
Phone(215) 601-8976
Sole ProprietorNo
Enumeration DateAugust 16, 2015
✔ NPI 1821464645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD454836
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.
909 WALNUT ST, Philadelphia, PA 19107
Open in Google Maps ↗

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.

ERICA GOULSTON CRNP
Nurse Practitioner (Acute Care)
909 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000
MIJAIL D. SERRUYA MD
Psychiatry & Neurology (Neurology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
DR. TIMOTHY MICHAEL AMBROSE M.D.
Psychiatry & Neurology (Neurology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
LAUREN MALINOWSKI-FALK
Nurse Practitioner (Acute Care)
909 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-7008
DR. JAY LANCE D GUEVARRA DDS
Student in an Organized Health Care Education/Training Program
909 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6215
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Clinic/Center (Dental)
909 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6215
CHRISTIAN HOELSCHER
Neurological Surgery
909 WALNUT ST, 3RD FLOOR, NEUROSURGERY
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000
DR. BABAR BASHIR M.D.
Internal Medicine (Medical Oncology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000

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 Jefferson Wilson's NPI number?

The NPI number for Jefferson Wilson is 1821464645. It was assigned to this individual provider in the NPPES registry on August 16, 2015.

Where is Jefferson Wilson located?

Jefferson Wilson practices at 909 Walnut St Suite 320L, Philadelphia, PA 19107. The listed phone number is (215) 601-8976.

What is Jefferson 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 Jefferson Wilson was last updated on August 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.