Wilson, Jennifer Grace

Wilson, Jennifer Grace is an individual health care provider with primary practice located at 715 North Park Drive , Selah WA 98942. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wilson, Jennifer Grace can be contacted via phone (509) 698-2624.

Contact Information

Primary practice address
715 North Park Drive Selah WA 98942
Phone: (509) 698-2624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61124275 Washington

Profile Details

NPI number 1972109254
LBN Legal business name Wilson, Jennifer Grace
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2020
Last updated Dec 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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