Individual
JENNIFER L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
(309) 762-3621
(309) 762-3690
Mailing address
2300 53RD AVE STE 100, BETTENDORF, IA 52722-7565
(563) 322-0971
(563) 324-0615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85002115
IL
Other
Enumeration date
07/28/2006
Last updated
05/25/2023
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