Individual
HANNIA ROXANNE THEODOSIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2630 WILLARD DAIRY RD, HIGH POINT, NC 27265-8351
(336) 907-5186
Mailing address
2630 WILLARD DAIRY RD, HIGH POINT, NC 27265-8351
(336) 884-3777
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025039426
NC
Other
Enumeration date
06/18/2025
Last updated
07/30/2025
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