IndividualActive
Kim Wilson, NP
NPI 1134169311 · Nurse Practitioner · Jackson, MI
Kim Wilson, NP is a Nurse Practitioner provider in Jackson, MI (NPI 1134169311).
Provider details
- NPI number
- 1134169311
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704131316 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
900 E Michigan Ave Ste 105
Jackson, MI 49201-2490
Phone: (517) 782-3190
Fax: (517) 782-1223
Street-level locationGet directions
Mailing address
900 E Michigan Ave
Jackson, MI 49201-2490
Additional practice locations (2)
- 205 N East AveJackson, MI 49201-1753Phone: (517) 788-4750Fax: (517) 789-5968
- 205 N East AveJackson, MI 49201-1753Phone: (517) 788-4750Fax: (517) 789-5968
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2018-03-17
Frequently asked questions
- What is Kim Wilson's NPI number?
- Kim Wilson's National Provider Identifier (NPI) is 1134169311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Wilson's specialty?
- Kim Wilson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kim Wilson located?
- Kim Wilson's practice location on file with NPPES is 900 E Michigan Ave Ste 105, Jackson, MI 49201-2490.
- What is Kim Wilson's phone number?
- The practice phone number listed in the NPPES registry for Kim Wilson is (517) 782-3190.
- Is Kim Wilson's NPI active?
- Yes — Kim Wilson's NPI (1134169311) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.