JACOB ALLEN WILSON

COLORADO SPRINGS, CO
NPI1962029165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  APN.0996156-NP)
Enumeration Date2020-07-03
Last Update Date2024-04-03
Business Address
JACOB ALLEN WILSON PMHNP-BC
5030 BOARDWALK DR STE 150
COLORADO SPRINGS, CO 80919-3160
Phone number: 719-726-1077
Mailing Address
JACOB ALLEN WILSON PMHNP-BC
5030 BOARDWALK DR STE 150
COLORADO SPRINGS, CO 80919-3160
Phone number: 719-726-1077
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