Organization · Type 2 NPI

Jessica J Wilson Chan D O PA

General Practice Physician · Tampa, FL

NPI number 1457995953 Active

Practice location

3284 Cove Bend Dr
Tampa, FL 33613-2752

Call (813) 586-0618 Map

Fax (813) 212-5367

Mailing address

18002 Richmond Place Dr Apt 124
Tampa, FL 33647-1725

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician 207QA0401XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

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About NPI 1457995953

Jessica J Wilson Chan D O PA's National Provider Identifier is 1457995953, issued on Oct 29, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tampa, FL. The record was last updated on Sep 23, 2026.