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Katie Wilson, AGACNP-BC
Gerontology Nurse Practitioner in Danville, Illinois
NPI 1073031100

Katie Wilson is a Gerontology Nurse Practitioner based in Danville, IL and is specialized in Gerontology. Katie Wilson practices in Danville, IL and has the professional credentials of AGACNP-BC. The NPI Number for Katie Wilson is 1073031100 and holds a License No. 209.016522 (Illinois).

The current practice location address for Katie Wilson is 1900 E Main St, Danville, IL and can be reached out via phone at 217-554-4364.

Location: 1900 E Main St, Danville, IL, 61832-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073031100
Provider Name
Katie Wilson
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1900 E Main St, Danville, IL, 61832-5100
Phone Number
217-554-4364
Fax Number
Provider Enumeration Date
09/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1900 E Main St
City
Danville
State
Illinois
Zip
61832-5100
Phone Number
217-554-4364
Fax Number
person
Provider Business Mailing Address Details
Address
1900 E Main St
City
Danville
State
Illinois
Zip
61832-5100
Phone Number
217-554-4364
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
209.016522 (Illinois)
Definition
Definition to come...
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