Individual
ASHLIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7765 S COUNTY ROAD 231, LAKE BUTLER, FL 32054-5721
(386) 496-6000
Mailing address
906 BLANDING BLVD, ORANGE PARK, FL 32065-6206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11013257
FL
Other
Enumeration date
09/30/2014
Last updated
03/27/2023
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