Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 ASHFORD ESTATES AVE, CANTON, GA 30115-3023
(352) 484-5844
Mailing address
603 ASHFORD ESTATES AVE, CANTON, GA 30115-3023
(352) 484-5844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN712085
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP712085
GA
Other
Enumeration date
02/18/2026
Last updated
03/04/2026
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