Individual
JESSICA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
111 POINT STREET, PROVIDENCE, RI 02903-1142
(401) 421-9620
(401) 421-9668
Mailing address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 752-2850
(203) 752-8785
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW00117
RI
Other
Enumeration date
03/20/2007
Last updated
10/14/2013
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