Individual
JESSICA R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
(781) 878-6750
Mailing address
143 LONGWATER DR STE 201, NORWELL, MA 02061-1683
(781) 792-4167
(781) 878-6750
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN2276660
MA
Other
Enumeration date
03/10/2011
Last updated
07/19/2021
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