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Individual

CAROL MITCHELL WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
745 OLD WARREN RD, MONTICELLO, AR 71655-9713
(870) 460-7445
Mailing address
1001 MASONVILLE RD, MC GEHEE, AR 71654-9795
(870) 222-3805

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R069925
AR
163WH0200X
Home Health Registered Nurse
R69925
AR
163WP0808X
Psychiatric/Mental Health Registered Nurse
R69925
AR

Other

Enumeration date
04/21/2006
Last updated
08/29/2022
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