Search › Georgia › 363LA2100X
Jaci Wilson, APRN
NPI 1538414495 · on the registry since 2012 · sole proprietor
Practice
- Address
- 501 Redmond Rd Nw
Rome, GA 30165 - Phone
- (706) 802-3155
- Fax
- (706) 368-8453
- Organisation at this address
- Redmond Park
Redmond Er Services Inc
Redmond Park Hospital Llc
Redmond Park Hospital, Llc
Redmond Park Hospital, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 167
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia