Individual
DONNA COLLINS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539
(704) 645-9003
Mailing address
1254 PINE TOP RD, LEXINGTON, NC 27295-6265
(336) 423-1391
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
165699
NC
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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