Individual
JENNIFER DAYE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5112 BROOKMERE DR, LAS VEGAS, NV 89130-5220
(801) 792-6033
Mailing address
5112 BROOKMERE DR, LAS VEGAS, NV 89130-5220
(801) 792-6033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5483944-3102
UT
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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