JACQUELINE WILSON AGACNP
NPI 1912681644
Nurse Practitioner - Acute Care in Ronkonkoma, NY

Q: What is Jacqueline Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1912681644. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Q: What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 13, 2023

49 N OCEAN AVE, RONKONKOMA, NY 11779(631) 487-8997 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Wilson Agacnp NPPES

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

JACQUELINE WILSON AGACNP (NPI 1912681644) is an individual acute care provider in Ronkonkoma, New York, licensed in New York (432663) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1912681644

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJACQUELINE WILSONCredential: AGACNP

Location Address49 N OCEAN AVERonkonkoma, NY 11779-5015

Mailing Address49 N Ocean AveRonkonkoma, NY 11779-5015 · (631) 487-8997

Phone(631) 487-8997

Sole ProprietorYes

Enumeration DateJune 13, 2023

NPPES CertifiedJune 13, 2023

✔ NPI 1912681644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · 432663

49 N OCEAN AVE, Ronkonkoma, NY 11779

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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 Jacqueline Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1912681644. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Where is Jacqueline Wilson located?

Jacqueline Wilson practices at 49 N Ocean Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 487-8997.

What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.