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Individual

MS. SIMONE ALYSSA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
39 PERIWINKLE CT, DOVER, DE 19904-7759
(302) 535-4964
Mailing address
39 PERIWINKLE CT, DOVER, DE 19904-7759
(302) 535-4964

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AC005898
MD
363LF0000X
Family Nurse Practitioner
Primary
LG-0012484
DE

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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