Individual
MRS. CAROL LASHAE' WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1001 EAST 5TH STREET, EAST CAROLINA UNIVERSITY STUDENT HEALTH SERVICE, GREENVILLE, NC 27858
(252) 328-6841
Mailing address
1001 EAST 5TH STREET, EAST CAROLINA UNIVERSITY STUDENT HEALTH SERVICES, GREENVILLE, NC 27858-4353
(252) 328-6841
(252) 328-0462
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004987
NC
Other
Enumeration date
08/02/2012
Last updated
02/28/2019
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