Individual provider · Type 1 NPI

Jennifer Michelle Wilson, PA-C

Medical Physician Assistant · Tucson, AZ

NPI number 1508151606 Active

Practice location

1760 E River Rd, Ste. # 350
Tucson, AZ 85718-5877

Mailing address

6320 W Union Hills Dr, Ste B - 1600
Glendale, AZ 85308-1096

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA-091 (NM)
Medical Physician Assistant Primary 363AM0700X5385 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1508151606

Jennifer Michelle Wilson, PA-C's National Provider Identifier is 1508151606, issued on Jun 16, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tucson, AZ. The record was last updated on Jan 31, 2014.