Search › Massachusetts › 363A00000X
Jordan Wilson, PA-C
NPI 1235651720 · on the registry since 2017
Practice
- Address
- 100 New State Hwy
Raynham, MA 02767 - Phone
- (781) 666-2711
- Fax
- (781) 666-2712
- Clinicians at this address
- 10
Additional practice sites
- 3469 N Dixie Hwy, Oakland Park, FL
- 2428 W Reynolds Ave, Centralia, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2084B0040X
363A00000X - Licence states on file
- FL, WA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts