Organization
JANE WILSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE MARIE WILSON RN,RD,CDE,CSR (GENERAL MANAGER/BUSINESS OWNER)
(804) 282-3207
Entity
Organization
Contact information
Practice address
8001 FRANKLIN FARMS DR, SUITE 215, RICHMOND, VA 23229-5108
(804) 263-6010
Mailing address
6226 W FRANKLIN ST, RICHMOND, VA 23226-2512
(804) 282-3207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
163W00000X
Registered Nurse
0001088548
VA
163WD0400X
Diabetes Educator Registered Nurse
0001088548
VA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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