Individual provider · Type 1 NPI

Jennifer Marie Wilson, FNP-C

Family Nurse Practitioner · Albany, OR

NPI number 1104197458 Active

Practice location

1700 Geary St SE
Albany, OR 97322-6842

Mailing address

PO Box 1188
Corvallis, OR 97339-1188

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201250109NP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1104197458

Jennifer Marie Wilson, FNP-C's National Provider Identifier is 1104197458, issued on Jan 18, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albany, OR. The record was last updated on Nov 3, 2020.