JACQUELINE LATIA WILSON

LOUISVILLE, KY
NPI1225687791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KY  3013705)
Enumeration Date2019-09-08
Last Update Date2020-03-13
Business Address
MS. JACQUELINE LATIA WILSON FNP-C
225 N CLIFTON AVE
LOUISVILLE, KY 40206-2496
Phone number: 502-794-3894
Mailing Address
MS. JACQUELINE LATIA WILSON FNP-C
225 N CLIFTON AVE
LOUISVILLE, KY 40206-2496
Phone number: 502-794-3894
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