Individual
KENDRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-2712
(501) 776-6901
(501) 776-6908
Mailing address
1 MEDICAL PARK DR, BENTON, AR 72015-2712
(501) 776-6901
(501) 776-6908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120677
AR
Other
Enumeration date
06/20/2019
Last updated
04/25/2023
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