Individual
JESSICA J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
710 THOMPSON AVE, MC KEES ROCKS, PA 15136-3808
(412) 489-8006
Mailing address
710 THOMPSON AVE, MC KEES ROCKS, PA 15136-3808
(247) 991-8220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010817
PA
363LF0000X
Family Nurse Practitioner
AP60764782
WA
Other
Enumeration date
06/07/2010
Last updated
09/02/2020
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