Individual
JENNIFER M WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7300
(802) 674-7314
Mailing address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7300
(802) 674-7314
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
026-0022105
VT
Other
Enumeration date
09/23/2005
Last updated
07/08/2007
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