Individual
MS. CATHERINE CORNELIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
806 PALUXY RD, GRANBURY, TX 76048-2330
(817) 910-8049
(817) 502-6429
Mailing address
806 PALUXY RD, GRANBURY, TX 76048-2330
(817) 910-8049
(877) 461-4979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP138615
TX
363LP2300X
Primary Care Nurse Practitioner
AP138615
TX
Other
Enumeration date
08/06/2018
Last updated
04/25/2025
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