Individual
ALEXIS WILSON
Active
Individual
ALEXIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0613558
NC
372500000X
Chore Provider
201550
NC
Other
Enumeration date
10/02/2007
Last updated
01/25/2018
Update your record
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