JEFFERSON WILSON NPI 1821464645

NPI Information

Jefferson Wilson is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jefferson Wilson NPI is 1821464645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

909 WALNUT ST
SUITE 320L
PHILADELPHIA, PA
ZIP 19107-211
Phone: (215) 601-8976

The enumeration date for this NPI number is 8/16/2015 and was last updated on 8/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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