Individual
JESSICA MORGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
7197 LIBERTY RD, ASHLAND, MS 38603-7980
(662) 587-1945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F05220827
TN
363LF0000X
Family Nurse Practitioner
Primary
31853
TN
363LP2300X
Primary Care Nurse Practitioner
31853
TN
Other
Enumeration date
06/01/2022
Last updated
01/07/2023
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