Individual
DEBRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7806 BRISTLECONE DR, WILMINGTON, NC 28411-5200
(910) 324-4237
Mailing address
7806 BRISTLECONE DR, WILMINGTON, NC 28411-5200
(910) 324-4237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123190
NC
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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