Individual
JACQUELINE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1201 N 175TH ST, SHORELINE, WA 98133-5064
(206) 401-3200
Mailing address
2720 NE 92ND ST, SEATTLE, WA 98115-3472
(425) 213-9056
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN61219246
WA
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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