Individual
CHARLENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 373-1578
(304) 373-1534
Mailing address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 373-1578
(304) 373-1534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
82144
WV
Other
Enumeration date
11/17/2014
Last updated
05/23/2024
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