Search › Pennsylvania › 101YP2500X
Jackalynn Wilson
NPI 1659923209 · on the registry since 2019 · sole proprietor
Practice
- Address
- 118 Amity Ave
Old Forge, PA 18518 - Phone
- (570) 905-0669
- Organisation at this address
- Hidden Grove Art Therapy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-17
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 Pennsylvania