Individual
ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
927 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1020
(833) 659-4357
Mailing address
927 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1020
(833) 659-4357
(317) 463-8226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28202663A
IN
363LF0000X
Family Nurse Practitioner
Primary
71016214A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71016214A
IN
Other
Enumeration date
01/17/2023
Last updated
04/06/2026
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