| Jennifer Grace Wilson, ARNP | |
|
715 North Park Drive, Selah, WA 98942 | |
| (509) 698-2624 | |
| Not Available |
| Full Name | Jennifer Grace Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 715 North Park Drive, Selah, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972109254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61124275 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Healthcare | 7618875022 | 34 |
| Entity Name | Comprehensive Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073527453 PECOS PAC ID: 7618875022 Enrollment ID: O20031223000155 |
| Entity Name | Thuthi Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851919476 PECOS PAC ID: 3870903099 Enrollment ID: O20201029000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Grace Wilson, ARNP 1809 E 14th Ave, Ellensburg, WA 98926-5127 Ph: (206) 794-8710 | Jennifer Grace Wilson, ARNP 715 North Park Drive, Selah, WA 98942 Ph: (509) 698-2624 |
Shereen K Stocker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 N. Park Drive, Selah, WA 98942 Phone: 509-697-5511 Fax: 509-225-2707 | |
Brittanie K-lyn Lane, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 N Park Ctr, Selah, WA 98942 Phone: 509-698-2624 | |
Mr. Silas Willoughby Jr., ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 Speyers Rd, Selah, WA 98942 Phone: 509-575-4084 | |
Kathleen E Tucholke, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 N Park Dr, Selah, WA 98942 Phone: 509-697-5511 Fax: 509-225-2707 | |
Tonjia Lee Jones, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 E 1st Ave Ste 4, Selah, WA 98942 Phone: 509-697-8008 Fax: 509-697-9872 |