Jamie Nicole Wilson, PA-C

NPI #1538626254 in Maxwell Afb, Alabama

Provider Information

NPI Number: 1538626254
Entity Type: Individual
Name: Jamie Nicole Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 28, 2019
Last Updated: Jun 24, 2020

Practice Location

Address: 300 TWINING ST BLDG 760
City: Maxwell Afb
State: Alabama
ZIP Code: 36112-6027
Phone: (334) 953-9671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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