NPI 1083464762

Jazmine Marie Wilson, RDH

Practitioner Dental Hygienist Phoenix, AZ

Practice location

Address: 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313
Phone: (602) 279-5262
Mailing address: 3345 E Branham Ln, Phoenix, AZ 85042-0008

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence H010646 (AZ)

Other Dental Hygienist providers in Arizona →

Registry record

NPI: 1083464762
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2024
Record last updated: 25 Mar 2024

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.