Individual
TIFFANY CELESTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
400 S MAIN ST STE 100, SEARCY, AR 72143-7801
(501) 368-0132
(501) 368-0123
Mailing address
400 S MAIN ST STE 100, SEARCY, AR 72143-7801
(501) 368-0132
(501) 368-0123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005849
AR
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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