Individual provider · Type 1 NPI
Jessica L. Wilson
Family Nurse Practitioner · Chicago, IL
NPI number
1992344451
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209018686 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992344451
Jessica L. Wilson's National Provider Identifier is 1992344451, issued on Jan 2, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on May 18, 2022.