NPI 1003526625
Jessica Wilson
Practice location
- Address
- 1717 Siam Rd, Elizabethton, TN 37643-4839
- Phone
- (423) 676-0188
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1003526625
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Dec 2022
- Record last updated
- 5 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.