Jykedrin Dantrel Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548932858

Jykedrin Dantrel Wilson is a Student in an Organized Health Care Education/Training Program in Mount Pleasant, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since: 2021

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Practice location Address checks out

303 Bryson Ave
Mount Pleasant, TN 38474-1308
Phone: (313) 878-5288

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary)	Taxonomy 390200000X

Record details

NPI number	1548932858
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	October 5, 2021
Last updated in NPPES	October 5, 2021
Certification date	September 7, 2021