Organization
WILSON FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYNN WILSON FNP-C (FNP-C/OWNER)
(812) 641-0262
Entity
Organization
Contact information
Practice address
899 AIGNER DR, BOONVILLE, IN 47601-8473
(812) 641-0262
(812) 641-0557
Mailing address
899 AIGNER DR, BOONVILLE, IN 47601-8473
(812) 641-0262
(812) 641-0557
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
04/02/2025
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