Individual
HEATHER JOY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1001 HADLEY RD STE 200, MOORESVILLE, IN 46158-1883
(317) 834-9393
(317) 834-9399
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28179128A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009569A
IN
Other
Enumeration date
01/09/2019
Last updated
09/29/2023
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