Individual
MS. DENESE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-4000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1058643
TX
363LA2200X
Adult Health Nurse Practitioner
309063
NY
Other
Enumeration date
03/14/2019
Last updated
08/26/2022
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