Individual
JENNIFER M WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
175 WEBSTER SQUARE RD, BERLIN, CT 06037-2328
(860) 420-3660
Mailing address
26 MAPLE ST, ROCKFALL, CT 06481-2026
(860) 344-1516
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
8586
CT
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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