Individual
JONELL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-5478
Mailing address
1325 86TH AVE N, BROOKLYN PARK, MN 55444-1336
(612) 554-4839
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2540042
MN
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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