Wilson, Jackilyn

Wilson, Jackilyn is an individual health care provider with primary practice located at 3120 Governors Place Blvd , Dayton OH 45409-1328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wilson, Jackilyn can be contacted via phone (937) 293-1622.

Contact Information

Primary practice address
3120 Governors Place Blvd Dayton OH 45409-1328
Phone: (937) 293-1622
Fax: (937) 245-6308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 019508 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN328660 Ohio

Profile Details

NPI number 1811440092
LBN Legal business name Wilson, Jackilyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2016
Last updated Nov 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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