Individual
CHASSITY ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
902 HIGHWAY 20 E STE 108, FREEPORT, FL 32439-3912
(850) 880-6433
(850) 807-5145
Mailing address
902 HIGHWAY 20 E STE 108, FREEPORT, FL 32439-3912
(850) 880-6433
(850) 807-5145
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11007041
FL
Other
Enumeration date
06/02/2020
Last updated
04/11/2023
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