Individual
JENNIFER SUZETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP (PMHNP)
Contact information
Practice address
206 RESCIA AVE, RAINBOW CITY, AL 35906-5933
(256) 413-7154
Mailing address
206 RESCIA AVE, RAINBOW CITY, AL 35906-5933
(256) 413-7154
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-076818 CRNP
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9394055
FL
Other
Enumeration date
02/18/2016
Last updated
01/19/2017
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