Individual
ALLISON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(267) 703-4718
(267) 703-4718
Mailing address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(267) 703-4718
(267) 703-4718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8808
WI
363LF0000X
Family Nurse Practitioner
338563
NY
363LF0000X
Family Nurse Practitioner
Primary
SP026991
PA
Other
Enumeration date
02/19/2014
Last updated
03/24/2026
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