| NPI | 1588728380 |
|---|---|
| Former Name | JENNIFER L WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 308084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R63397) |
| 367A00000X Advanced Practice Midwife (Licence: NM 566) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-06-21 |