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Individual

MS. SHANA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
2 ZEPHYR RD, PALMYRA, VA 22963-2739
(540) 244-4164
(540) 244-4164
Mailing address
2 ZEPHYR RD, PALMYRA, VA 22963-2739
(540) 244-4164
(540) 244-4164

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG09250014
VA

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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