Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
109 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-7713
(740) 695-2090
(740) 695-4116
Mailing address
380 SUMMIT AVENUE, MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7597
(740) 283-7807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34012758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219742
—
OH
Enumeration date
05/15/2014
Last updated
01/22/2021
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