IndividualActive
Jennifer Wilson
NPI 1679879035 · Licensed Practical Nurse · Fredericktown, OH
Provider details
- NPI number
- 1679879035
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN.114347-MEDS (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
13071 Netherland Rd
Fredericktown, OH 43019-9370
Phone: (740) 507-2905
Approximate (ZIP-level) locationGet directions
Mailing address
13071 Netherland Rd
Fredericktown, OH 43019-9370
Registry dates
- Enumerated
- 2011-02-02
- Last updated
- 2011-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.