Active NPIIndividual providerSole proprietor

Mckenna L Wilson, PA

Physician Assistant in Plainfield, New Jersey

NPI Number1902494065
Practice location
1080 Oakland Ave, Plainfield, NJ 07060-3434
Fax
—
Last updated
July 21, 2022

Mckenna Leigh Wilson is a Physician Assistant based in Plainfield, NJ. Mckenna Leigh Wilson practices in Plainfield, NJ and has the professional credentials of PA. The NPI Number for Mckenna Leigh Wilson is 1902494065 and holds a License No. 028008 (NY). The current practice location address for Mckenna Leigh Wilson is 1080 Oakland Ave, Plainfield, NJ 07060-3434 and can be reached out via phone at 908-255-8626.

Provider Profile Details

NPI Number
1902494065
Provider Name
Mckenna Leigh Wilson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1080 Oakland Ave, Plainfield, NJ 07060-3434
Phone Number
908-255-8626
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 5, 2021
Last Update Date
July 21, 2022
Certification Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1080 Oakland Ave
Plainfield, NJ 07060-3434
Zip
07060-3434
Phone Number
908-255-8626
Plainfield, NJ 07060Get directions →

Provider Business Mailing Address Details

Address
1080 Oakland Ave
Plainfield, NJ 07060-3434
City
Plainfield
State
NJ
Zip
07060-3434
Phone Number
908-255-8626

License Information

License Number (2)
028008
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mckenna L Wilson, PA?

The NPI number of Mckenna L Wilson, PA is 1902494065. It was assigned on January 5, 2021 and is currently active in the NPPES registry.

What is the specialty of Mckenna L Wilson, PA?

Mckenna L Wilson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 028008.

Where does Mckenna L Wilson, PA practice?

The practice location is 1080 Oakland Ave, Plainfield, NJ 07060-3434. The office can be reached at 908-255-8626 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902494065 directly on the NPPES registry website.

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