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Individual

JENNY R WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
(814) 452-5348
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 454-8885
(814) 456-3856

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN595127
PA

Other

Enumeration date
03/20/2013
Last updated
04/06/2022
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