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Individual
EMILY G WILSON
Active
Individual
EMILY G WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001294701
VA
363L00000X
Nurse Practitioner
Primary
0024193955
VA
363LA2200X
Adult Health Nurse Practitioner
0024193955
VA
Other
Enumeration date
06/18/2025
Last updated
07/07/2025
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