Individual
AMIE MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16065 LAMONTE DR, HAMMOND, LA 70403-1405
(318) 239-7045
Mailing address
16065 LAMONTE DR, HAMMOND, LA 70403-1405
(318) 239-7045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214398
LA
Other
Enumeration date
07/10/2020
Last updated
08/13/2020
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