Individual
MRS. JORDAN REED WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
368 OLD FERRY RD, JASPER, AL 35503-8154
(205) 435-3764
Mailing address
PO BOX 2249, JASPER, AL 35502-2249
(205) 435-3764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-151796
AL
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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