Individual
LAURA ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1215 VANDALIA ST, COLLINSVILLE, IL 62234-4060
(618) 343-6015
Mailing address
1130 JACOB DR, RED BUD, IL 62278-2433
(618) 719-4939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026113
IL
Other
Enumeration date
10/20/2022
Last updated
01/23/2026
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