Individual
JESSICA LYNNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 EASTLAWN DR, TORRINGTON, CT 06790
(860) 601-8449
Mailing address
58 EASTLAWN DR, TORRINGTON, CT 06790-3009
(860) 601-8449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11876
CT
Other
Enumeration date
05/04/2023
Last updated
10/01/2024
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