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Individual

ANGELICA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
5743 WILKIE DR STE 3, FORT WAYNE, IN 46804-8905
(260) 200-4940
(949) 404-6540
Mailing address
251 N ROSE ST STE 200, KALAMAZOO, MI 49007-3874
(269) 254-2826

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71017010A
IN

Other

Enumeration date
06/17/2025
Last updated
01/05/2026
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