Individual
JESSICA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 OLD LATTA HWY, DILLON, SC 29536-7614
(843) 339-0883
Mailing address
2017 COREYS CT, DILLON, SC 29536-8064
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
226765
SC
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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