Individual
NANCY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
510 BALSAM RD STE 300, HENDERSONVILLE, NC 28792-5703
(828) 693-4431
(828) 693-4431
Mailing address
PO BOX 890291, CHARLOTTE, NC 28289-0291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200558
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
200558
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003759
—
NC
Enumeration date
06/01/2006
Last updated
08/13/2019
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