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NPI Profile for JODIAN M WILSON in HACKENSACK, NJ.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI Number | 1841777554 |
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| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 07/25/2018 | |
| Last updated | 05/21/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JODIAN M WILSON
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JODIAN M WILSON, FNP