← CMS Doctors and Clinicians
JACQUETTA WILSON
NURSE PRACTITIONER · LA GRANGE, KY
Provider
- NPI
1265073985- Credential
- —
- Primary specialty
- NURSE PRACTITIONER
- Gender
- Female
- Medical school
- OTHER
- Graduation year
- 2019
Practice
- Address
- 1006 NEW MOODY LN, LA GRANGE, KY 400319122
- Phone
- 5022220028
- Accepts Medicare
- Yes (individual)
- Telehealth
- No
Source
- Authoritative
- NPI Registry
- Machine
- JSON-LD · Markdown