Individual
JESSICA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2253
Mailing address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2253
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
8121
MN
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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