Individual
MRS. JENNIFER ALMA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
(952) 993-3286
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 200885-1
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP 4189
MN
Other
Enumeration date
01/24/2016
Last updated
04/13/2023
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