Individual
MRS. JENNIFER R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917
(865) 215-5230
(865) 582-4604
Mailing address
140 DAMERON AVE, KNOXVILLE, TN 37917
(865) 215-5230
(865) 582-4604
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000150278
TN
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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