Individual
JACQUELYN ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
515 PACIFIC AVE, AUDUBON, IA 50025-1056
(712) 563-2611
(712) 563-5248
Mailing address
402 W MORROW RD, SAND SPRINGS, OK 74063-6549
(918) 770-3134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A145802
IA
Other
Enumeration date
08/18/2015
Last updated
11/20/2022
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