Individual
MS. JENNIFER JACKSON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1600 PEYTON MANNING, KNOXVILLE, TN 37996
(865) 974-5451
(865) 974-4639
Mailing address
1600 PEYTON MANNING PASS, KNOXVILLE, TN 37996-0001
(865) 974-5451
(865) 974-4639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000001403
TN
Other
Enumeration date
04/07/2007
Last updated
09/02/2021
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