Individual
JENNIFER KELLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CPNP-PC
Contact information
Practice address
1600 BEACON ST APT 312, BROOKLINE, MA 02446-2223
(203) 339-2161
Mailing address
1600 BEACON ST APT 312, BROOKLINE, MA 02446-2223
(203) 339-2161
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2363283
MA
Other
Enumeration date
11/27/2023
Last updated
11/28/2023
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