Individual
CHRISTINE OLIVIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 SE PLAZA AVE, BENTONVILLE, AR 72712-3104
(479) 876-8111
Mailing address
330 W COLORADO AVE, SPRINGDALE, AR 72764-6654
(501) 889-4777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
221221
AR
363LF0000X
Family Nurse Practitioner
Primary
221221
AR
Other
Enumeration date
07/12/2022
Last updated
07/15/2022
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