Individual
JAMIE IRENE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
9515 83RD ST N, STILLWATER, MN 55082-8354
(651) 254-3456
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2464073
MN
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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