Individual
JO ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2173 CENTERVILLE PL # A, TALLAHASSEE, FL 32308-4356
(850) 385-0144
Mailing address
PO BOX 452198, SUNRISE, FL 33345-2198
(800) 437-2672
(954) 851-1758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3187572
FL
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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