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Individual

MS. JENNIFER LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-RX, FNP-C

Contact information

Practice address
1401 S BERETANIA ST STE 400, HONOLULU, HI 96814-1872
(808) 206-5301
(808) 200-3785
Mailing address
1401 S BERETANIA ST STE 400, HONOLULU, HI 96814-1872
(808) 206-5301
(808) 200-3785

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2089
HI

Other

Enumeration date
03/22/2016
Last updated
07/12/2016
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