Individual
MS. JENNIFER LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N WOLFE ST, CMCS 2 - NICU, BALTIMORE, MD 21287-0005
(410) 955-5255
(410) 614-8834
Mailing address
616 EMERSON PL, SEVERNA PARK, MD 21146-3410
(410) 544-4349
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
R115360
MD
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R115360
MD
Other
Enumeration date
12/05/2005
Last updated
09/11/2025
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