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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN K WILSON, PA-C

Deactivated

JONATHAN K WILSON, PA-C is a Physician Assistant healthcare provider located in ANNAPOLIS, Maryland. NPI 1619443884 is deactivated in the NPPES registry. Verify at CMS.

Physician Assistant · ANNAPOLIS, MD

This NPI has been deactivated. The record was deactivated on April 7, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1619443884
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2018 (0.47671232876712 yrs)
Last Updated
Nov 5, 2019
Deactivated
Apr 7, 2019

Practice Information

Address
2000 MEDICAL PKWY STE 101
ANNAPOLIS, MD, 214013743
Browse MD providers · Browse ZIP 21401
Phone
4102680380
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ANNAPOLIS, MD

Name Credential NPI
KATHLEEN V POTTER PA-C 1205830874
CATHERINE R PLATNICK PA-C 1588668164
KRISTEN DAVIS PA-C 1093719676
JULIA A VANHASSENT PA-C 1710981386
MR. CHRISTOPHER J BURROUGHS PA 1487652269
KIM S. ENDRES PA-C 1184602724
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.