Individual
LISA C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4419 N HIGHWAY 7 STE 200, HOT SPRINGS VILLAGE, AR 71909-9301
(501) 922-2217
(501) 922-4216
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 922-2217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005516
AR
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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