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Organization
JESSICA J WILSON CHAN D O PA
Active
Organization
JESSICA J WILSON CHAN D O PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA JILL WILSON-CHAN DO (PHYSICIAN/OWNER)
(813) 586-0618
Entity
Organization
Contact information
Practice address
3284 COVE BEND DR, TAMPA, FL 33613-2752
(813) 586-0618
(813) 212-5367
Mailing address
18002 RICHMOND PLACE DR APT 124, TAMPA, FL 33647-1725
(813) 586-0618
(813) 212-5367
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
09/23/2026
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