Individual
JER'DONNA DOWNESHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1965 COBBS FORD RD, PRATTVILLE, AL 36066-7290
(334) 323-1330
(334) 361-8750
Mailing address
921 CRUZ CT, MONTGOMERY, AL 36110-3236
(334) 202-3505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-132303
AL
Other
Enumeration date
08/18/2015
Last updated
04/04/2017
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