Individual
JESSICA N WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-6183
Mailing address
7212 REEDS RD, OVERLAND PARK, KS 66204-2163
(785) 218-3808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-78578-121
KS
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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