Individual
DR. JESSICA NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
189 BROOKLAWN ST, FARRAGUT, TN 37934-2875
(865) 671-7920
(865) 671-7925
Mailing address
1829 SILVER CLOUD LN, KNOXVILLE, TN 37909-1212
(865) 357-2132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14419
KY
183500000X
Pharmacist
Primary
33111
TN
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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