JELISA WILSON
Licensed Practical Nurse
Active
Individual
NPI: 1053972497
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 334016 (NY) |
Frequently Asked Questions
NPI 1053972497 is the National Provider Identifier for JELISA WILSON, a Licensed Practical Nurse provider located in Brooklyn, NY. This NPI was enumerated on June 26, 2019.
JELISA WILSON practices at 6321 NEW UTRECHT AVE, Brooklyn, NY 11219.
Quick Facts
- NPI
- 1053972497
- Type
- Individual
- Enumerated
- Jun 26, 2019
- Last Updated
- Jun 26, 2019
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