Individual
YUNIQUE CARRINGTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5613 KINGS GROVE DR, CHESTERFIELD, VA 23832-7891
(804) 245-1995
Mailing address
5613 KINGS GROVE DR, CHESTERFIELD, VA 23832-7891
(804) 245-1995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024184066
VA
Other
Enumeration date
04/03/2022
Last updated
12/06/2023
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