# 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 assignment:** Yes (individual)
- **Telehealth:** No
## Source
- [NPI Registry](https://npiregistry.cms.hhs.gov/provider-view/1265073985)
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