Individual
JENNIFER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9601 BAPTIST HEALTH DR, SUITE 860, LITTLE ROCK, AR 72205-6321
(501) 975-7455
(501) 975-3631
Mailing address
7 GREYMOSS CV, LITTLE ROCK, AR 72211-3856
(949) 282-9671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004185
AR
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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