Individual provider · Type 1 NPI
Jo Ann Wilson
Psychiatric/Mental Health Registered Nurse · Ceres, CA
NPI number
1417444886
Active
Practice location
1904 Richland Ave Bldg A
Ceres, CA 95307-4562
Mailing address
3925 Scenic Dr Apt 64
Modesto, CA 95355-4858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 528916 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 528916 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
30 other providers at this address
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About NPI 1417444886
Jo Ann Wilson's National Provider Identifier is 1417444886, issued on Apr 20, 2018. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Ceres, CA. The record was last updated on Apr 26, 2018.