Jordan Wilson is a Raynham, Massachusetts based neurologist with 8 years of experience in Behavioral Neurology & Neuropsychiatry. He completed his graduation in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jordan Wilson is PA101388 in Massachusetts. His current practice location is 100 New State Hwy, Raynham. Patients can reach him at 781-666-2711 or can fax him at 781-666-2712. Jordan Wilson is PA-C in Behavioral Neurology & Neuropsychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1235651720. Jordan Wilson has a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Complete Profile:
Jordan Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jordan Wilson
Specialization:
Behavioral Neurology & Neuropsychiatry
Gender:
Male
Credentials:
PA-C
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
100 New State Hwy, Raynham, Massachusetts, 02767-5423
Phone:
781-666-2711
Fax:
781-666-2712
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7012267115
Enrollment ID:
I20180911003525
NPI Number:
1235651720
NPI Enumeration Date:
17 Jul, 2017
NPI Last Update On:
12 Mar, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Wilson are as mentioned below.
License Number
Specialization
State
Status
PA101388
Massachusetts
Primary
9110440
Behavioral Neurology & Neuropsychiatry
Florida
Secondary
PA60855409
Physician Assistant
Washington
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jordan Wilson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lewis County Mental Health Association (5496641177)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Jordan Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2101119
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jordan Wilson 100 New State Hwy, Raynham, Massachusetts
Zip:
02767-5423
Phone Number:
781-666-2711
Fax Number:
781-666-2712
Patients can reach Jordan Wilson at 100 New State Hwy, Raynham, Massachusetts or can call to book an appointment on 781-666-2711.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.