Individual
JEFFREY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1018 S CASHUA DR, FLORENCE, SC 29501-6315
(843) 250-9999
Mailing address
1018 S CASHUA DR, FLORENCE, SC 29501-6315
(843) 250-9999
(843) 731-9077
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
363L00000X
Nurse Practitioner
Primary
28296
SC
Other
Enumeration date
11/10/2022
Last updated
12/20/2024
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