Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jennifer Ann Brough Wilson, PA
Physician Assistant in Roseburg, OR · enumerated 2014.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1053714089
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Registry record
Entity type Individual (Type 1)
Name Jennifer Ann Brough Wilson
Credential PA
Sex Female
Practice address 2440 Nw Edenbower Blvd, Roseburg, OR, 97471
Phone (541) 957-1141
Fax (541) 957-1466
Enumeration date Oct 5, 2014
Last updated in NPPES Mar 7, 2023
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 52022 (CA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jennifer Wilson?
Jennifer Wilson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Jay Gade Dermatology Physician · Roseburg, OR NPI 1447222724 Jay N. Gade M.D., Phd., PC Specialist · Roseburg, OR NPI 1841439312 Kaylan Weese Dermatology Physician · Roseburg, OR NPI 1134449366 Weese Dermatology PC Specialist · Roseburg, OR NPI 1790176949 Katherine Braunlich Dermatology Physician · Roseburg, OR NPI 1326496522 Michael Heath MOHS-Micrographic Surgery Physician · Roseburg, OR NPI 1437670338
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.