Individual
SARA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
5153 N 9TH AVE # 5D, PENSACOLA, FL 32504-8785
(850) 416-1426
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11019767
FL
Other
Enumeration date
08/08/2022
Last updated
10/03/2024
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