| NPI | 1407038813 |
|---|---|
| Other Name | JESSICA ANN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP116454) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 693848) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-12-12 |