Individual provider · Type 1 NPI

Jill R. Konzelman Wilson, P.A.

Surgical Physician Assistant · Pensacola, FL

NPI number 1073524864 Active

Practice location

5151 N 9th Ave
Pensacola, FL 32504-8721

Call (850) 416-7000 Map

Mailing address

PO Box 2699
Pensacola, FL 32513-2699

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XPA9103579 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9103579 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1073524864

Jill R. Konzelman Wilson, P.A.'s National Provider Identifier is 1073524864, issued on Aug 10, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pensacola, FL. The record was last updated on Feb 7, 2019.