Search › Delaware › 103K00000X
Jacklyn Wilson
NPI 1861939548 · on the registry since 2017
Practice
- Address
- 5231 Andrewville Rd
Greenwood, DE 19950 - Phone
- (302) 381-0058
Additional practice sites
- 9030 Red Branch Rd Ste 100, Columbia, MD
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
235Z00000X
106S00000X - Licence states on file
- MD, AZ, DE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-19
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 Delaware