Individual
MRS. MICHELLE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008834
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100326710
—
KY
Enumeration date
08/13/2014
Last updated
03/07/2023
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