IndividualActive
Jolene Wilson
NPI 1316744907 · Emergency Registered Nurse · Detroit, MI
Provider details
- NPI number
- 1316744907
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704316834 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Approximate (ZIP-level) locationGet directions
Mailing address
712 Knibbe Rd
Lake Orion, MI 48362-2147
Registry dates
- Enumerated
- 2025-02-28
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.