Individual
MRS. JOYCELYN AMPON WILSON
Active
Individual
MRS. JOYCELYN AMPON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2208091
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122707
NBCRNA CREDENTIAL ID
—
01
—
2208091
MINNESOTA RN LICENSE NUMBER
MN
Enumeration date
04/01/2019
Last updated
04/01/2019
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