Individual
JENNIFER SUSAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1474 W 5TH AVE, EUGENE, OR 97402-4403
(541) 521-5260
Mailing address
1474 W 5TH AVE, EUGENE, OR 97402-4403
(541) 521-5260
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
202007446RN
OR
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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