Individual
DR. JOHN RIVERS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2495 SHREVEPORT HWY, VAMC - ALEXANDRIA, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5132
Mailing address
PO BOX 12761, ALEXANDRIA, LA 71315-4044
(318) 473-0010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03906
LA
Other
Enumeration date
08/30/2006
Last updated
01/04/2024
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