Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jessica J Wilson Chan D O PA

Organization Addiction Medicine (Family Medicine) Physician · NPI 1457995953

Jessica J Wilson Chan D O PA provides Addiction Medicine (Family Medicine) Physician services in Tampa, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3284 Cove Bend Dr
Tampa, FL 33613-2752
Phone: (813) 586-0618
Fax: (813) 212-5367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X

Record details

NPI number1457995953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Wilson-Chan — Physician/Owner · (813) 586-0618
NPI enumeratedOctober 29, 2019
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026
Mailing address18002 Richmond Place Dr Apt 124, Tampa, FL 33647-1725

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