Individual
MRS. TAMESIA ANNETTE WILSON
Active
Individual
MRS. TAMESIA ANNETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2225182
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
2225182
FL
Other
Enumeration date
11/20/2006
Last updated
05/12/2014
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