Individual
MRS. NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
200 SKYWATCH DR, DANVILLE, KY 40422-2540
(615) 425-4246
(615) 425-4265
Mailing address
2195 HARRODSBURG RD STE 125, LEXINGTON, KY 40504-3543
(859) 608-0562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010389
KY
Other
Enumeration date
08/08/2016
Last updated
01/22/2021
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