Individual
JESSICA RAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 198, CUNNINGHAM, TN 37052-0198
(615) 252-4434
Mailing address
PO BOX 198, CUNNINGHAM, TN 37052-0198
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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