Individual
MRS. AMANDA JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
759 CHESTNUT ST STE C3350, SPRINGFIELD, MA 01107-1619
(413) 794-6297
(413) 794-1767
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9044
MA
Other
Enumeration date
07/26/2017
Last updated
01/23/2023
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