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Individual
MRS. STEPHANIE LYNN WILSON
Active
Individual
MRS. STEPHANIE LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9479701
FL
363LF0000X
Family Nurse Practitioner
9479701
FL
363LF0000X
Family Nurse Practitioner
APN0000021911
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107548200
—
FL
Enumeration date
01/16/2017
Last updated
10/28/2022
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