Individual provider · Type 1 NPI

Jennifer Lynn Wilson

Student in an Organized Health Care Education/Training Program · Monroe, WA

NPI number 1134537376 Active

Practice location

19200 N Kelsey St
Monroe, WA 98272-1431

Call (360) 794-5555 Map

Mailing address

15426 30th Dr SE
Mill Creek, WA 98012-5888

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XIR60306113 (WA)

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 1134537376

Jennifer Lynn Wilson's National Provider Identifier is 1134537376, issued on Jul 31, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Monroe, WA. The record was last updated on Jul 31, 2014.