Individual
AMY MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5 SAINT VINCENT CIR STE 300, LITTLE ROCK, AR 72205-5417
(501) 480-8800
(501) 480-8815
Mailing address
PO BOX 649411, DALLAS, TX 75264-9411
(501) 480-8800
(501) 480-8815
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
A001902
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159004758
—
AR
Enumeration date
10/13/2006
Last updated
11/21/2025
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