Individual
AMY BETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3101 NASA PKWY STE B, SEABROOK, TX 77586-6475
(832) 554-5343
(832) 327-9762
Mailing address
3101 NASA PKWY STE B, SEABROOK, TX 77586-6475
(832) 554-5343
(832) 327-9762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346739711
NPI
TX
Enumeration date
05/01/2018
Last updated
10/06/2020
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