Jennifer J Wilson, LPN

NPI #1336470095 in Page, Arizona

Provider Information

NPI Number
1336470095
Entity Type
Individual
Name
Jennifer J Wilson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 20, 2010
Last Updated
Jan 20, 2010

Practice Location

Address
1801 N. NAVAJO DR.
City
Page
State
Arizona
ZIP Code
86040
Phone
(928) 608-4200

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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