Wilson, Abby Jan

Wilson, Abby Jan is an individual health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Abby Jan can be contacted via phone (208) 785-4100.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 785-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D-795 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3771381 Idaho

Profile Details

NPI number 1033544580
LBN Legal business name Wilson, Abby Jan
Credentials FNP-BC, RD, CDCES
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2013
Last updated Aug 11th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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