Individual
DR. JESSICA ANN WILSON
Active
Individual
DR. JESSICA ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251287
MA
207R00000X
Internal Medicine Physician
52351-20
WI
207R00000X
Internal Medicine Physician
Primary
SP1377
VI
208000000X
Pediatrics Physician
251287
MA
208000000X
Pediatrics Physician
52351-20
WI
208000000X
Pediatrics Physician
SP1377
VI
Other
Enumeration date
11/23/2006
Last updated
04/27/2020
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