Individual
RHONDA C WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC MBA/HCA BSN
Contact information
Practice address
117 KITE RD, SWAINSBORO, GA 30401-3231
(478) 289-1169
Mailing address
473 WILSON RD E, VIDALIA, GA 30474-6646
(912) 454-0861
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN101844
GA
Other
Enumeration date
08/02/2018
Last updated
02/01/2023
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