Individual
CAROLYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
1050 S JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70125-1200
(504) 821-7085
Mailing address
9910 GRANT ST, NEW ORLEANS, LA 70127-4240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
095217
LA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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