Individual
DR. JENNIFER L. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
112907
MO
207R00000X
Internal Medicine Physician
Primary
112907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207326300
—
MO
Enumeration date
07/05/2006
Last updated
07/16/2025
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