Individual
GINA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
(904) 249-3371
Mailing address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
(919) 667-2322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
244366
NC
Other
Enumeration date
07/09/2015
Last updated
04/26/2023
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