Individual
MS. JENNIFER LYNNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1467
(850) 863-4152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
042212-23
NH
363LF0000X
Family Nurse Practitioner
ARNP9200345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306147700
—
FL
01
—
Y047K
BCBS
FL
Enumeration date
07/08/2006
Last updated
02/09/2024
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