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Jykedrin Dantrel Wilson
Student in an Organized Health Care Education/Training Program in Mount Pleasant, Tennessee
NPI 1548932858

Jykedrin Dantrel Wilson is a Student in an Organized Health Care Education/Training Program based in Mount Pleasant, TN. Jykedrin Dantrel Wilson practices in Mount Pleasant, TN. The NPI Number for Jykedrin Dantrel Wilson is 1548932858 and holds a License No. (Tennessee).

The current practice location address for Jykedrin Dantrel Wilson is 303 Bryson Ave, Mount Pleasant, TN and can be reached out via phone at 313-878-5288.

Location: 303 Bryson Ave, Mount Pleasant, TN, 38474-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548932858
Provider Name
Jykedrin Dantrel Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
303 Bryson Ave, Mount Pleasant, TN, 38474-1308
Phone Number
313-878-5288
Fax Number
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
303 Bryson Ave
City
Mount Pleasant
State
Tennessee
Zip
38474-1308
Phone Number
313-878-5288
Fax Number
person
Provider Business Mailing Address Details
Address
303 Bryson Ave
City
Mount Pleasant
State
Tennessee
Zip
38474-1308
Phone Number
313-878-5288
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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