Individual
JEANNETTE MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N WEST ST, MOUNT VERNON, OH 43050-2306
(740) 501-5954
Mailing address
405 N WEST ST, MOUNT VERNON, OH 43050-2306
(740) 501-5954
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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