| NPI | 1518035708 |
|---|---|
| Other Name | JAN N. WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2000144267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2000144267) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 45195) | |
| 163W00000X Registered Nurse (Licence: KS 13-52189-012) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-03-15 |