Individual
BROOKE ELISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
362 S BURNETT RD, SPRINGFIELD, OH 45505-2604
(937) 525-2470
(937) 525-2432
Mailing address
362 S BURNETT RD, SPRINGFIELD, OH 45505-2604
(937) 525-2470
(937) 525-2432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.025179
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025179
OH
Other
Enumeration date
09/12/2019
Last updated
11/19/2025
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