Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
740 S LIMESTONE J401, LEXINGTON, KY 40536-0001
(859) 323-5661
(859) 257-4999
Mailing address
740 S LIMESTONE J401, LEXINGTON, KY 40536-0001
(859) 323-5661
(859) 257-4999
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3003297
KY
Other
Enumeration date
02/28/2017
Last updated
04/13/2017
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