Individual
KAYEE VERONICA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
R189585
MD
363LF0000X
Family Nurse Practitioner
R189585
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R189585
MD
Other
Enumeration date
02/09/2011
Last updated
05/04/2020
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