Individual
JESSICA GAIL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19527 HIGHLAND OAKS DR STE 201, ESTERO, FL 33928-9637
(239) 237-0770
Mailing address
19527 HIGHLAND OAKS DR STE 201, ESTERO, FL 33928-9637
(239) 237-0770
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
20771
NH
207N00000X
Dermatology Physician
332549
LA
207N00000X
Dermatology Physician
Primary
ME175015
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME175015
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
01/07/2026
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