Individual
JASON A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245-2633
(319) 339-0300
(319) 339-3448
Mailing address
500 E MARKET ST, IOWA CITY, IA 52245-2633
(319) 339-0300
(319) 339-3448
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G105783
IA
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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