Individual
JESSICA CORDELIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5959 BIG TREE RD, ORCHARD PARK, NY 14127-2291
(716) 422-5677
Mailing address
193 NORWOOD AVE, BUFFALO, NY 14222-1915
(716) 829-9444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F356864-01
NY
Other
Enumeration date
07/22/2025
Last updated
08/26/2025
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