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Individual

MS. CRYSTAL ANN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
4604 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6515
(270) 389-5054
(270) 389-5094
Mailing address
4604 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6515
(270) 389-5000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28228168A
IN
363LF0000X
Family Nurse Practitioner
Primary
3015121
KY

Other

Enumeration date
11/11/2020
Last updated
12/11/2020
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