Individual
MISS LACIE LEE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
211 SAINT FRANCIS DR, SUITE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
(573) 331-3334
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(813) 262-8160
(813) 891-9066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2006025697
MO
363LF0000X
Family Nurse Practitioner
Primary
2015037589
MO
Other
Enumeration date
12/03/2015
Last updated
01/29/2016
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