Individual provider · Type 1 NPI

Jennifer Wylie, MD, MS

Student in an Organized Health Care Education/Training Program · Winston-Salem, NC

NPI number 1003566118 Active

Practice location

1 Medical Center Blvd., Surgery Outpatient Clinic 5th Janeway Tower
Winston-Salem, NC 27157

Mailing address

1 Medical Center Blvd, Surgery Outpatient Clinic - 5th Janeway Tower
Winston Salem, NC 27157-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003566118

Jennifer Wylie, MD, MS's National Provider Identifier is 1003566118, issued on Mar 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston-Salem, NC. The record was last updated on Mar 24, 2022.