Individual
JASMINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
202 WALL ST, PIEDMONT, SC 29673-6754
(864) 295-8714
Mailing address
40 S MAIN ST, STE 1300, MEMPHIS, TN 38103-5513
(901) 422-7617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19534
SC
Other
Enumeration date
07/17/2015
Last updated
11/04/2021
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