Individual
MRS. JODI LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R29374
ND
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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