Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 E 30TH AVE, HUTCHINSON, KS 67502-1226
(620) 728-0923
Mailing address
1625 E 30TH AVE, HUTCHINSON, KS 67502-1226
(620) 728-0923
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51951
KS
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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