Individual
TRISTIN REANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(307) 689-0464
Mailing address
927 FIELD IVY DR, FUQUAY VARINA, NC 27526-4337
(307) 689-0464
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5017704
NC
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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