Individual
MS. JOANNE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
3401 SPRINGHILL DR, SUITE 245, NORTH LITTLE ROCK, AR 72117-2924
(501) 758-1530
(501) 758-5371
Mailing address
3401 SPRINGHILL DR, SUITE 245, NORTH LITTLE ROCK, AR 72117-2924
(501) 758-1530
(501) 758-5371
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A01075
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A01075
ADVANCED PRACTICE NURSE
AR
01
—
R16871
REGISTERED NURSE
AR
Enumeration date
08/30/2006
Last updated
07/08/2007
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