Jennifer Rachel Wilson, MSN, APRN, NP-C
Nurse Practitioner, Family in Stearns, KY. Individual provider (NPI-1).
NPI number1982179404
StatusActive
Last updated in NPPESDec 22, 2021
Details
- NPI
- 1982179404
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Rachel Wilson
- Credential
- MSN, APRN, NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2018
- Certification date
- Dec 22, 2021
- Last updated
- Dec 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3012538 | KY | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 3012538 | KY |
Practice location
2157 S Highway 27Stearns, KY 42647-6297
Phone 606-376-9700 · Fax 606-376-9703
Mailing address
Po Box 28Stearns, KY 42647-0028
Phone 606-376-9700 · Fax 606-376-9703
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