Individual
ASHLEY SHULL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 BUFFALO ST STE 200, FARMVILLE, VA 23901-1111
(434) 392-8177
Mailing address
2105 COTTAGE RD, BLACKSTONE, VA 23824-3447
(540) 292-5693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187957
VA
Other
Enumeration date
08/28/2023
Last updated
04/08/2025
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