MR. Jerry Wilson

  • NPI 1962731786
According to our database, the NPI number for MR. Jerry Wilson is 1962731786 and activated since 14 years ago. MR. Jerry Wilson is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is Hwy 491 N. Pinon St., Shiprock, NM 87420. You can also contact MR. Jerry Wilson via telephone number is (505) 368-1050. Provider NPI information was last updated on 12/08/2009.

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Overview of MR. Jerry Wilson

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/08/2009
  • Last updated: 12/08/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0122591
  • License State: NM

Provider Mailing Address

  • Address: Po Box 1830
    Shiprock, NM 87420
  • Phone: 505-368-1050
  • Fax: 505-368-1055

Provider Practice Location

  • Address: Hwy 491 N. Pinon St.
    Red Modular Bldg
    Shiprock, NM 87420
  • Phone: 505-368-1050
  • Fax: 505-368-1055

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0122591
  • License State: NM
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jerry Wilson?
  • A: The npi number for MR. Jerry Wilson is 1962731786.
  • Q: What are MR. Jerry Wilson's specialties?
  • A: MR. Jerry Wilson's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. Jerry Wilson?
  • A: The medical license number for MR. Jerry Wilson is 0122591 and issued in NM in USA.
  • Q: Where is MR. Jerry Wilson practice location?
  • A: MR. Jerry Wilson is practicing at Hwy 491 N. Pinon St., Shiprock, NM 87420.
  • Q: How to contact MR. Jerry Wilson?
  • A: You can contact MR. Jerry Wilson via 505-368-1050.
Medicare Specialty
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