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Individual

JENNIFER LEIGH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4622 BATTLEFIELD PKWY, RINGGOLD, GA 30736-8004
(423) 602-2750
(423) 602-2762
Mailing address
2358 LIFESTYLE WAY STE 100, CHATTANOOGA, TN 37421-4907
(423) 602-2750
(423) 602-2762

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17797
TN
363L00000X
Nurse Practitioner
Primary
RN297501
GA

Other

Enumeration date
08/26/2013
Last updated
08/05/2024
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