Individual ProviderSara Jean WilsonRegistered NurseNursing Service ProvidersPractice Address1438 14th Ave N, Wahpeton, ND 58075-5011(701) 640-6936PECOS EnrollmentBased on the most recent information from CMS, provider Sara Jean Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1114818481Provider TypeIndividualFull NameWilson, Sara JeanCredentialRN, SANE-AGenderFemaleSole ProprietorNoEnumeration Date7/14/2025Last Updated7/14/2025Contact InformationPractice LocationPractice Address1438 14th Ave N, Wahpeton, ND 58075-5011Phone(701) 640-6936FaxUnlisted FaxMailing LocationMailing Address1438 14th Ave N, Wahpeton, ND 58075-5011Phone(701) 640-6936FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseR-176814-7Minnesota