Individual
AYMEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
112 IRVIN AVE SW, LIVE OAK, FL 32064-2214
(386) 330-6380
Mailing address
8405 127TH DR, LIVE OAK, FL 32060-8835
(386) 647-6144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9272614
FL
Other
Enumeration date
04/28/2016
Last updated
02/08/2024
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