Individual
KRISTEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
323 N EAST ST, BENTON, AR 72015-3869
(501) 304-5139
Mailing address
2024 BERKSHIRE DR, BENTON, AR 72019-7612
(501) 326-1739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
232522
AR
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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