Individual
MRS. JAMIE LINN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15244 COUNTY ROAD 3, FRAZEYSBURG, OH 43822-9622
(740) 763-4620
Mailing address
15244 COUNTY ROAD 3, FRAZEYSBURG, OH 43822-9622
(740) 973-2892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.334480
OH
374U00000X
Home Health Aide
400472160405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604695
—
OH
Enumeration date
04/19/2007
Last updated
03/31/2015
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