IndividualActive
Jennifer Wilson
NPI 1134537376 · Student in an Organized Health Care Education/Training Program · Monroe, WA
Provider details
- NPI number
- 1134537376
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
- License
- IR60306113 (WA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense IR60306113 (WA)
Student, Health Care
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
19200 N Kelsey St
Monroe, WA 98272-1431
Phone: (360) 794-5555
Approximate (ZIP-level) locationGet directions
Mailing address
15426 30th Dr Se
Mill Creek, WA 98012-5888
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2014-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.