Search › Louisiana › 101YP2500X
Jerome Wilson
NPI 1922648674 · on the registry since 2020 · sole proprietor
Practice
- Address
- 100 Diplomat Way
Thibodaux, LA 70301 - Phone
- (985) 316-6483
- Organisation at this address
- Wilson Transportation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 103TF0000X
103TF0000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-10
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 Louisiana