Individual
MICHELLE LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
899 AIGNER DR, BOONVILLE, IN 47601-8473
(812) 641-0262
(812) 641-0557
Mailing address
899 AIGNER DR, BOONVILLE, IN 47601-8473
(812) 641-0262
(812) 641-0557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006477A
IN
Other
Enumeration date
06/07/2016
Last updated
07/02/2024
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