National Provider Identifier

Jessica Cordelia Wilson, FNP-C

Jessica Cordelia Wilson, FNP-C is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 422-5677.

NPI 1831071893Orchard Park, NYNurse Practitioner

Profile Overview

NPI
1831071893
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
July 22, 2025
Last Updated
August 26, 2025

Practice Location

  • 5959 Big Tree RD
  • Orchard Park, NY 14127-2291

Phone: (716) 422-5677

Mailing Address

  • 193 Norwood Ave
  • Buffalo, NY 14222-1915

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1831071893
Entity Type
Individual
Last Name
Wilson
First Name
Jessica
Middle Name
Cordelia
Credential
FNP-C
Mailing Street Address
193 Norwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-1915
Mailing Country
US
Mailing Phone
(716) 829-9444
Practice Street Address
5959 Big Tree RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2291
Practice Country
US
Practice Phone
(716) 422-5677
Enumeration Date
July 22, 2025
Last Updated
August 26, 2025
Sex
Female
Sole Proprietor
No
Certification Date
August 26, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)