Individual
MS. JOANNE CATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-AC NP
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 332-4000
Mailing address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 332-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001173457
VA
363L00000X
Nurse Practitioner
0024178255
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024178255
VA
Other
Enumeration date
01/04/2021
Last updated
07/13/2023
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