Individual
DR. JESSICA JILL WILSON-CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3284 COVE BEND DR, TAMPA, FL 33613-2752
(813) 586-0618
(813) 212-5367
Mailing address
18002 RICHMOND PLACE DR APT 124, TAMPA, FL 33647-1725
(702) 885-7789
(813) 212-5367
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
OS11030
FL
208D00000X
General Practice Physician
Primary
OS11030
FL
Other
Enumeration date
09/08/2010
Last updated
10/27/2025
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