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Individual

MS. JACI F WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 802-3155
(706) 368-8453
Mailing address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 802-3155
(706) 368-8453

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN140128
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN140128
RN LICENSE
GA
Enumeration date
07/17/2012
Last updated
10/10/2025
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