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NPI Code Detail

MEDICARE: JASMINE NATALIE WILSON RN

MEDICARE: JASMINE NATALIE WILSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse95443719CA

General Provider Information

NPI Number : 1841140076
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NATALIE WILSON RN
Provider Business Mailing Address
First Line : 10210 COLLETT WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92124-2904
Country : US
Telephone Number : 619-662-4100
Fax Number :
Provider Business Practice Location Address
First Line : 875 EL CAJON BLVD
Second Line :
City : EL CAJON
State : CA
Zip : 92020-5714
Country : US
Telephone Number : 619-662-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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