MISS Jessica Marie Wilson, LPN
NPI #1487954178 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1487954178
- Entity Type
- Individual
- Name
- MISS Jessica Marie Wilson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 27, 2010
- Last Updated
- Oct 27, 2010
Practice Location
- Address
- 550 POPE AVE
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-2332
- Phone
- (913) 684-6011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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