Individual provider · Type 1 NPI

Jefferson Wilson

Specialist · Philadelphia, PA

NPI number 1821464645 Active

Practice location

909 Walnut St, Suite 320L
Philadelphia, PA 19107-5211

Call (215) 601-8976 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD454836 (PA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1821464645

Jefferson Wilson's National Provider Identifier is 1821464645, issued on Aug 16, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 16, 2015.