Individual provider · Type 1 NPI

Jolene Wilson

Emergency Registered Nurse · Detroit, MI

NPI number 1316744907 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 576-1000 Map

Mailing address

712 Knibbe Rd
Lake Orion, MI 48362-2147

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse Primary	163WE0003X	4704316834 (MI)

Emergency Registered Nurse: Definition to come...

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About NPI 1316744907

Jolene Wilson's National Provider Identifier is 1316744907, issued on Feb 28, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Detroit, MI. The record was last updated on Feb 28, 2025.