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Individual
DR. TIMOTHY WILSON
Active
Individual
DR. TIMOTHY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01026700
NJ
Other
Enumeration date
05/20/2014
Last updated
10/20/2023
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