Individual
BRENDA LYNNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
119 GAS PLANT RD, DU QUOIN, IL 62832-3866
(618) 790-2146
(618) 790-2147
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401
(618) 724-9257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209032497
IL
Other
Enumeration date
03/18/2025
Last updated
01/27/2026
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