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Contact Information

JERRY P WILSON JR, RN
111 COLCHESTER AVE
BURLINGTON, VT05401-1473
 Phone: 731-414-9799
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JERRY P WILSON JR · (Male)

NPI # 1427855469
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/27/2025
Last updated 02/27/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VT License # 026.0142391
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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