Individual
MRS. JAMIE NICOLE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 HOSPITAL DR STE 2, BARBOURVILLE, KY 40906-7363
(606) 545-5500
(606) 545-5511
Mailing address
80 HOSPITAL DR STE 2, BARBOURVILLE, KY 40906-7363
(606) 545-5500
(606) 545-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010435
KY
363LF0000X
Family Nurse Practitioner
Primary
3010435
KY
Other
Enumeration date
10/06/2016
Last updated
05/09/2023
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