Individual
JESSICA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 MCDANIEL DR, WEST CHESTER, PA 19380-6672
(484) 444-2151
Mailing address
28 N OVERHILL RD, MEDIA, PA 19063-1444
(484) 477-6682
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP034369
PA
Other
Enumeration date
11/01/2025
Last updated
11/06/2025
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