Individual
JEAN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17 WARREN ST, LOWELL, MA 01852-2216
(978) 322-8500
(978) 446-0248
Mailing address
585-597 MERRIMACK STREET, LOWELL, MA 01854
(978) 322-8500
(978) 446-0248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237180
MA
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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