Individual
MS. MELANIE JAYNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
8820 GUSTINE DR, HELOTES, TX 78023-3651
(210) 364-6953
Mailing address
8820 GUSTINE DR, HELOTES, TX 78023-3651
(210) 364-6953
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
592746
TX
Other
Enumeration date
10/25/2010
Last updated
10/26/2017
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