Jessica Wilson, DHS
NPI #1629729462 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1629729462
- Entity Type
- Individual
- Name
- Jessica Wilson, DHS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- DHS
- Enumeration Date
- Jan 13, 2022
- Last Updated
- Jan 13, 2022
Practice Location
- Address
- 27 AUERBACH PL
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1596
- Phone
- (618) 205-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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