Individual
DR. KRISTEN LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Mailing address
140 VERACRUZ DR UNIT 626, PONTE VEDRA BEACH, FL 32082-3248
(904) 236-9686
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
155028
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11038036
FL
Other
Enumeration date
01/23/2025
Last updated
03/06/2025
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