Individual
KOURTNEY LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2702 LOW CT, FAIRFIELD, CA 94534-9771
(707) 427-4900
(707) 432-2800
Mailing address
2702 LOW CT, FAIRFIELD, CA 94534-9771
(707) 427-4900
(707) 432-2800
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP18844
CA
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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