IndividualActive
Jennifer Wilson
NPI 1053663682 · Licensed Vocational Nurse · Riverside, CA
Jennifer Wilson is a Licensed Vocational Nurse provider in Riverside, CA (NPI 1053663682).
Provider details
- NPI number
- 1053663682
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 212974 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4736 Victoria Ave
Riverside, CA 92507-5660
Phone: (951) 214-8775
Street-level locationGet directions
Mailing address
Po Box 5595
Newport Beach, CA 92662-5595
Registry dates
- Enumerated
- 2012-10-05
- Last updated
- 2013-03-26
Frequently asked questions
- What is Jennifer Wilson's NPI number?
- Jennifer Wilson's National Provider Identifier (NPI) is 1053663682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wilson's specialty?
- Jennifer Wilson is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Jennifer Wilson located?
- Jennifer Wilson's practice location on file with NPPES is 4736 Victoria Ave, Riverside, CA 92507-5660.
- What is Jennifer Wilson's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wilson is (951) 214-8775.
- Is Jennifer Wilson's NPI active?
- Yes — Jennifer Wilson's NPI (1053663682) is active in the NPPES registry as of the last update on 2013-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.