Individual
NICHOLE PARKER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
226 VENTURE DR, SMITHFIELD, NC 27577-4721
(919) 355-8111
Mailing address
560G PARKERTOWN RD, FOUR OAKS, NC 27524-8907
(919) 398-1482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013027
NC
363LF0000X
Family Nurse Practitioner
F01200458
NC
Other
Enumeration date
03/11/2020
Last updated
01/03/2026
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