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Contact Information

JACQUELYN L WILSON, R, MR
11300 FINANCIAL CENTRE PKWY
SUITE 400
LITTLE ROCK, AR72211-3746
 Phone: 501-221-2502
 Fax: 501-221-2504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for JACQUELYN L WILSON · (Female)

NPI Number 1336431378
Status Active
Credentials R, MR
Entity Individual
Enumeration date 05/10/2011
Last updated 05/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 380089
  • AR License # RTL6252
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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