NPI 1629729462

Jessica Wilson, DHS

Practitioner Licensed Vocational Nurse Glen Carbon, IL

Practice location

Address: 27 Auerbach Pl, Glen Carbon, IL 62034-1596
Phone: (618) 205-4242

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 043.116724 (IL)

Other Licensed Vocational Nurse providers in Illinois →

Registry record

NPI: 1629729462
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2022
Record last updated: 13 Jan 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.