# DR. JESSICA JILL WILSON-CHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1306153606
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | OS11030 | FL | — |
| 208D00000X | General Practice Physician | OS11030 | FL | Yes |

## Other

- **Enumeration date:** 09/08/2010
- **Last updated:** 10/27/2025