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Individual

REBECCA LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5727 PROSPERITY CROSSING DR, STE 1100, CHARLOTTE, NC 28269-2206
(704) 863-9930
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LF0000X
NC

Other

Enumeration date
07/27/2006
Last updated
07/31/2023
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