Jennifer Lynnette Wilson, PA-C

NPI #1942725700 in Raeford, North Carolina

Provider Information

NPI Number: 1942725700
Entity Type: Individual
Name: Jennifer Lynnette Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 13, 2017
Last Updated: Aug 13, 2017

Practice Location

Address: 282 EQUESTRIAN WAY
City: Raeford
State: North Carolina
ZIP Code: 28376-7721
Phone: (727) 631-4125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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