Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3724 JEFFERSON ST STE 10, AUSTIN, TX 78731-6225
(512) 399-9039
Mailing address
63 SHERMAN PL APT E2, JERSEY CITY, NJ 07307-3760
(732) 547-0998
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86169444
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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