Individual
JODI LYNNE WILSON
Active
Individual
JODI LYNNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
131394
OH
363LA2100X
Acute Care Nurse Practitioner
15352-33
WI
363LA2100X
Acute Care Nurse Practitioner
4704437749
MI
363LA2100X
Acute Care Nurse Practitioner
71017712A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
H131394
IA
Other
Enumeration date
09/25/2017
Last updated
05/25/2026
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