Individual
CRYSTAL BEARD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6127 S NC 16 BUSINESS HWY, DENVER, NC 28037
(704) 966-0063
Mailing address
4131 HERITAGE LN, LINCOLNTON, NC 28092-5033
(704) 562-5219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
WILS-JY1OC
NC
Other
Enumeration date
10/12/2021
Last updated
05/23/2024
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