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Dr. Jennifer Susan Wilson, DC
Chiropractor in Beaumont, Texas
NPI 1427109750

Jennifer Susan Wilson is a Chiropractor based in Beaumont, TX. Jennifer Susan Wilson practices in Beaumont, TX and has the professional credentials of DC. The NPI Number for Jennifer Susan Wilson is 1427109750 and holds a License No. 9991 (Texas).

The current practice location address for Jennifer Susan Wilson is 7060 Phelan Blvd, Beaumont, TX and can be reached out via phone at 409-866-8661 and via fax at 409-866-4371.

Location: 7060 Phelan Blvd, Beaumont, TX, 77706-6168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427109750
Provider Name
Jennifer Susan Wilson
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
7060 Phelan Blvd, Beaumont, TX, 77706-6168
Phone Number
409-866-8661
Fax Number
409-866-4371
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9991 01 TX STATE LICENSE
8K7171 01 TX BLUE CROSS BLUE SHIELD ID
institution
Provider Business Practice Location Address Details
Address
7060 Phelan Blvd
City
Beaumont
State
Texas
Zip
77706-6168
Phone Number
409-866-8661
Fax Number
409-866-4371
person
Provider Business Mailing Address Details
Address
7060 Phelan Blvd
City
Beaumont
State
Texas
Zip
77706-6168
Phone Number
409-866-8661
Fax Number
409-866-4371
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
9991 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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