Individual
DONNA J WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330-1929
(707) 543-4942
(270) 754-3499
Mailing address
110 W MAIN CROSS ST, GREENVILLE, KY 42345-1202
(270) 216-2212
(270) 297-8311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3005518
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3005518
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100042750
—
KY
Enumeration date
02/20/2008
Last updated
11/02/2023
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