Individual
MRS. LESLIE J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1301 S CLIFF AVE STE 506, SIOUX FALLS, SD 57105-1023
(605) 728-2256
Mailing address
3431 S HARMONY DR, SIOUX FALLS, SD 57110-6022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001151
SD
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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