Individual
MRS. ELLA D. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1430 LINDBERG DR, SLIDELL, LA 70458-8056
(985) 781-7337
(985) 781-7339
Mailing address
1430 LINDBERG DR, SLIDELL, LA 70458-8056
(985) 781-7337
(985) 781-7339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04842
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP04842
LICENSE NUMBER
LA
Enumeration date
07/27/2006
Last updated
10/31/2011
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