Jaquell Wilson, is a
Non-emergency Medical Transport (van) based in North Chesterfield, Virginia. Jaquell Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
8014 Midlothian Tpke Ste 318, North Chesterfield, Virginia. She can be reached at her office (for appointments etc.) via phone at
(804) 866-7050.
NPI number for Jaquell Wilson is 1558000117 and her current mailing address is 4807 Tooley Dr, Chester, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558000117.
Provider's Profile
| Full Name | Jaquell Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Non-emergency Medical Transport (van) |
|---|
| Location | 8014 Midlothian Tpke Ste 318, North Chesterfield, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558000117
- Provider Enumeration Date: 06/01/2022
- Last Update Date: 05/12/2025
Medical Identifiers
Medical identifiers for Jaquell Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558000117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0001301085 (Virginia) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 0001301085 (Virginia) | Secondary |
| 342000000X | Transportation Network Company | (* (Not Available)) | Secondary |
| 343800000X | Secured Medical Transport (van) | (* (Not Available)) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaquell Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jaquell Wilson,
4807 Tooley Dr,
Chester, VA 23831-6631
Ph: (434) 480-6111 | Jaquell Wilson,
8014 Midlothian Tpke Ste 318,
North Chesterfield, VA 23235-5291
Ph: (804) 866-7050 |
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