Mr. Jarred Douglas Wilson, SURFACEIDC
Mr. Jarred Douglas Wilson, SURFACEIDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
365 Gonzalez BlvdCamp Lejeune, NC 28542
Phone: (910) 451-5846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1255703641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SURFACEIDC |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2015 |
| Last updated in NPPES | July 2, 2025 |
| Certification date | June 18, 2025 |
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