Individual
MRS. JENNIFER S. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
216 CODY CT, CLARKSVILLE, TN 37043-5897
(931) 206-3436
Mailing address
216 CODY CT, CLARKSVILLE, TN 37043-5897
(931) 206-3436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000336
TN
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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