Individual
CHARMAINE JOHNSON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
265 FRANKLIN ST STE 1702, BOSTON, MA 02110-3144
(888) 803-3337
(888) 803-3331
Mailing address
8 SPLIT ROCK CT, FRISCO, TX 75033-0407
(504) 621-5650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP134297
TX
363LF0000X
Family Nurse Practitioner
Primary
RN2385399
MA
Other
Enumeration date
06/28/2017
Last updated
06/18/2024
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