Individual
VENNESSA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 BUTLER PL FL 1, OSSINING, NY 10562-4401
(646) 623-2724
Mailing address
9 BUTLER PL FL 1, OSSINING, NY 10562-4401
(646) 623-2724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
311534
NY
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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