Individual
MRS. STEPHANIE S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2009 BROWN ST, ANDERSON, IN 46016-4216
(317) 574-1254
(317) 674-0060
Mailing address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4360
(317) 587-0500
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28144253A
IN
Other
Enumeration date
12/29/2009
Last updated
04/24/2015
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