| Doctor Name: | JILL BETHANY WILSON |
| NPI Number: | 1326314634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 209.009467 |
| Business Practice Address: | 7 S Hospital Dr Murphysboro, IL - 629663333 |
| Business Phone Number: | 6186873418 |
| Business Fax Number: | 6186871859 |
| Mailing Address: | Po Box 577, CARTERVILLE |
| State: | IL |
| Postal Code: | 629180577 |
| Phone Number: | 6189858221 |
| Fax Number: | 6189854635 |
| NPI Enumeration Date: | 03/30/2012 |
| NPI Last Update Date: | 01/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209.009467 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |