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Individual

JACLYN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2600 CLIFTON AVE, CINCINNATI, OH 45220-2872
(513) 556-6000
Mailing address
5953 REGATTA DR, MIDDLETOWN, OH 45042-3187

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0038824
OH

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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