person
Dr. Jessica Jill Wilson-chan, DO
General Practice Physician in Tampa, Florida
NPI 1306153606

Jessica Jill Wilson-chan is a General Practice Physician based in Tampa, FL. Jessica Jill Wilson-chan practices in Tampa, FL and has the professional credentials of DO. The NPI Number for Jessica Jill Wilson-chan is 1306153606 and holds a License No. OS11030 (Florida).

The current practice location address for Jessica Jill Wilson-chan is 14522 University Point Pl, Tampa, FL and can be reached out via phone at 813-978-0020 and via fax at 813-972-9024. You can also correspond with Jessica Jill Wilson-chan through the mailing address at 14522 UNIVERSITY POINT PL, TAMPA, FL - 33613-5425 (mailing address contact number: 813-978-0020).

Location: 14522 University Point Pl, Tampa, FL, 33613-5425
person
Provider Profile Details
NPI Number
1306153606
Provider Name
Jessica Jill Wilson-chan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
14522 University Point Pl, Tampa, FL, 33613-5425
Phone Number
813-978-0020
Fax Number
813-972-9024
Provider Enumeration Date
09/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33864 01 FL BCBS
BM642A 01 FL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
14522 University Point Pl
City
State
Zip
33613-5425
Phone Number
813-978-0020
Fax Number
813-972-9024
person
Provider Business Mailing Address Details
Address
14522 University Point Pl
City
State
Zip
33613-5425
Phone Number
813-978-0020
Fax Number
813-972-9024
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
OS11030 (Florida)
Definition
Definition to come...
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