Jordan Wilson
PA-C | Behavioral Neurology & Neuropsychiatry | 9+ years Exp
100 New State Hwy, Raynham
Massachusetts, 02767-5423
781-666-2711 781-666-2712
Maps & DirectionsJordan Wilson is a Raynham, Massachusetts based neurologist with 9 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: | 9+ 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.