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Individual

ERICA LEIGH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7275
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7275

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013028538
MO
363LF0000X
Family Nurse Practitioner
Primary
3016796
KY

Other

Enumeration date
09/19/2013
Last updated
10/11/2021
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