Pediatrics, Adolescent Medicine
JENNIFER WILSON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043321748 · enumerated 2006-08-31 · record updated 2024-01-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 3050 HARRODSBURG RD, STE 100, LEXINGTON, KY, 40503-2747 (859) 277-6102 Fax (859) 977-0237 Google Maps Apple Maps OpenStreetMap
- Mailing address 1221 S BROADWAY, LEXINGTON, KY, 40504-2701 (859) 258-6200 Fax (859) 258-6203 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics 208000000X · License 41107 KY
- Pediatrics 208000000X · License 052858 GA
- Pediatrics, Adolescent Medicine 2080A0000X · Primary · License 41107 KY
In this directory
Locations and evidence
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Practice location
LEXINGTON, KY, 405032747
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.