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Dr. Jennifer L. Wilson, MD
Specialist in Columbia, Missouri
NPI 1932130200

Jennifer L. Wilson is a Specialist based in Saint Louis, MO. Jennifer L. Wilson practices in Columbia, MO and has the professional credentials of MD. The NPI Number for Jennifer L. Wilson is 1932130200 and holds a License No. 112907 (Missouri).

The current practice location address for Jennifer L. Wilson is 200 Southhampton Drive, Columbia, MO and can be reached out via phone at 573-499-9009 and via fax at 573-499-4400.

Location: 200 Southhampton Drive, Columbia, MO, 63141-8573
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932130200
Provider Name
Jennifer L. Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 Southhampton Drive, Columbia, MO, 63141-8573
Phone Number
573-499-9009
Fax Number
573-499-4400
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207326300 05 MO
institution
Provider Business Practice Location Address Details
Address
200 Southhampton Drive
City
Columbia
State
Missouri
Zip
65203
Phone Number
573-499-9009
Fax Number
573-499-4400
person
Provider Business Mailing Address Details
Address
200 Southhampton Drive
City
Columbia
State
Missouri
Zip
65203
Phone Number
573-499-9009
Fax Number
573-499-4400
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
112907 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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