Individual
KASSI LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11012885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111087300
—
FL
01
—
8ITXD
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/29/2021
Last updated
09/28/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up