Individual
DR. JENNIFER SUSAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7060 PHELAN BLVD, SUITE 101, BEAUMONT, TX 77706-6168
(409) 866-8661
(409) 866-4371
Mailing address
7060 PHELAN BLVD, SUITE 101, BEAUMONT, TX 77706-6168
(409) 866-8661
(409) 866-4371
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K7171
BLUE CROSS BLUE SHIELD ID
TX
01
—
9991
STATE LICENSE
TX
Enumeration date
01/15/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us