Individual
JESSICA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 319-4404
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208000000X
Pediatrics Physician
Primary
ME146340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
MILITARY
—
Enumeration date
04/19/2019
Last updated
11/24/2025
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