Individual
JENNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 STOREY AVE, NEWBURYPORT, MA 01950-1878
(978) 225-6607
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3828
MA
363A00000X
Physician Assistant
—
NH
Other
Enumeration date
01/28/2010
Last updated
11/17/2023
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