Individual
MS. KAREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2380 ARLINGTON BLVD, MED-DIRECT - EMERGENCY MEDICINE, GREENVILLE, NC 27834
(252) 744-0100
(252) 744-0128
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500026811
RR MEDICARE
NC
05
—
7000930
—
NC
Enumeration date
04/13/2006
Last updated
08/23/2007
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