Individual provider · Type 1 NPI
Jenna Wilson I, DO
Student in an Organized Health Care Education/Training Program · Boston, MA
NPI number
1144846155
Active
Practice location
736 Cambridge St
Boston, MA 02135-2907
Mailing address
141 Beacon St Apt 5
Boston, MA 02116-1557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1144846155
Jenna Wilson I, DO's National Provider Identifier is 1144846155, issued on Jun 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 25, 2020.