Individual
JENNIFER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-7016
(814) 373-3543
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-7016
(814) 373-3543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD063892L
PA
208M00000X
Hospitalist Physician
Primary
MD063892L
PA
Other
Enumeration date
04/04/2007
Last updated
07/23/2021
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