Individual
JENNIFER ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 MONTGOMERY LN, MARYVILLE, TN 37803-5649
(865) 681-0520
(865) 681-8226
Mailing address
131 MONTGOMERY LN, MARYVILLE, TN 37803-5649
(865) 681-0520
(865) 681-8226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33108
TN
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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