Individual
MS. TERESA DAWN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,RNFA
Contact information
Practice address
9500 KANIS RD, SUITE 501, LITTLE ROCK, AR 72205-6324
(501) 227-9080
Mailing address
3021 SHELBY DR, BENTON, AR 72015-8874
(501) 951-3631
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R49396
AR
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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