Individual
JILLIAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, APRN
Contact information
Practice address
1401 W CAPITOL AVE, LITTLE ROCK, AR 72201-2936
(501) 320-7000
Mailing address
1401 W CAPITOL AVE, LITTLE ROCK, AR 72201-2936
(501) 320-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004838
AR
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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