Jacquelyn L Wilson, CRNA
NPI #1447341086 in Folcroft, Pennsylvania
Provider Information
- NPI Number
- 1447341086
- Entity Type
- Individual
- Name
- Jacquelyn L Wilson, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Feb 17, 2009
Practice Location
- Address
- 58 KING AVE
- City
- Folcroft
- State
- Pennsylvania
- ZIP Code
- 19032-1022
- Phone
- (610) 891-0171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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