Individual
JENNIFER M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-3188
(775) 770-3588
Mailing address
PO BOX 21418, RENO, NV 89515-1418
(775) 746-3202
(775) 770-3588
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10019
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016938
—
NV
Enumeration date
07/11/2006
Last updated
01/23/2013
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