Individual
JENNIFER LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
418 CHATHAM SQUARE OFFICE PARK STE 200, FREDERICKSBURG, VA 22405-2561
(540) 371-4800
Mailing address
120 EXECUTIVE CENTER PKWY, FREDERICKSBURG, VA 22401-3100
(540) 374-5200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167920
VA
Other
Enumeration date
08/14/2008
Last updated
08/11/2020
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