Search › Georgia › 363LF0000X
Jessica Wilson
NPI 1760335848 · on the registry since 2026
Practice
- Address
- 603 Ashford Estates Ave
Canton, GA 30115 - Phone
- (352) 484-5844
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-04
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