Individual
JILL MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 W POINTE CT, CHARDON, OH 44024-2810
(440) 897-8517
Mailing address
101 W POINTE CT, CHARDON, OH 44024-2810
(440) 897-8517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN342398
OH
163WH0200X
Home Health Registered Nurse
RN.342398
OH
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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