Individual
ASHLEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-1000
Mailing address
440 HOLLY GROVE ST, KYLE, TX 78640-5534
(214) 603-6485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1123564
TX
363LF0000X
Family Nurse Practitioner
F04230330
TX
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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