Individual
JENNIFER RACHEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
2157 S HIGHWAY 27, STEARNS, KY 42647-6297
(606) 376-9700
(606) 376-9703
Mailing address
PO BOX 28, STEARNS, KY 42647-0028
(606) 376-9700
(606) 376-9703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012538
KY
363LP2300X
Primary Care Nurse Practitioner
3012538
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012538
KY BOARD OF NURSING
KY
01
—
F07182064
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
TX
Enumeration date
10/11/2018
Last updated
12/22/2021
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