Jennifer Ann Brough Wilson, PA

NPI #1053714089 in Roseburg, Oregon

Provider Information

NPI Number
1053714089
Entity Type
Individual
Name
Jennifer Ann Brough Wilson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 5, 2014
Last Updated
Mar 7, 2023

Practice Location

Address
2440 NW EDENBOWER BLVD
State
Oregon
ZIP Code
97471-8847
Phone
(541) 957-1141

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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