Individual
KRISTINA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
123 PROFESSIONAL PARK DR, LOCUST, NC 28097-7712
(704) 403-6760
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201384
NC
Other
Enumeration date
07/18/2005
Last updated
09/25/2025
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