Individual
DR. JENNIFER NOELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6599
Mailing address
141 MINNESOTA CIR, JACKSONVILLE, AR 72076-1125
(609) 346-8473
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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