Individual
HALEY MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 MUSEUM RD STE 104, CONWAY, AR 72032-4761
(501) 932-9010
(501) 585-9076
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 301-2092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120692
AR
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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