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Individual

JENNIFER LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
199 LAKE BEND DR, ELMORE, AL 36025-1058
(334) 714-3868
Mailing address
199 LAKE BEND DR, ELMORE, AL 36025-1058
(334) 714-3868

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-082885
AL

Other

Enumeration date
04/23/2008
Last updated
04/25/2011
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