Jennifer Wilson

NPI 1770012775 · on the registry since 2017

Practice

Address: 3902 Henderson Blvd Ste 202
Tampa, FL 33629
Phone: (813) 412-7190
Organisation at this address: Breezefast Llc
Mobility Medicine, Pllc
Way Of Life Behavioral Health
Siragusa Llc Dba Granny Nannies
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-21

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 Florida