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Individual

LISA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 322-6478
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 223-2751
(239) 561-2933

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9246110
FL
363LF0000X
Family Nurse Practitioner
APRN9246110
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30004
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9246110
FL

Other

Enumeration date
09/18/2018
Last updated
02/23/2026
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