person
Destiny Wilson, APRN
Adult Health Nurse Practitioner in Sparta, Illinois
NPI 1265976039

Destiny Wilson is an Adult Health Nurse Practitioner based in Sparta, IL and is specialized in Adult Health. Destiny Wilson practices in Sparta, IL and has the professional credentials of APRN. The NPI Number for Destiny Wilson is 1265976039 and holds a License No. 209015177 (Illinois).

The current practice location address for Destiny Wilson is 1300 N Market St, Sparta, IL and can be reached out via phone at 618-443-1337 and via fax at 618-443-1383. You can also correspond with Destiny Wilson through the mailing address at 1300 N MARKET ST, SPARTA, IL - 62286-1048 (mailing address contact number: 618-443-1337).

Location: 1300 N Market St, Sparta, IL, 62286-1048
person
Provider Profile Details
NPI Number
1265976039
Provider Name
Destiny Wilson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1300 N Market St, Sparta, IL, 62286-1048
Phone Number
618-443-1337
Fax Number
618-443-1383
Provider Enumeration Date
12/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 N Market St
City
State
Zip
62286-1048
Phone Number
618-443-1337
Fax Number
618-443-1383
person
Provider Business Mailing Address Details
Address
1300 N Market St
City
State
Zip
62286-1048
Phone Number
618-443-1337
Fax Number
618-443-1383
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209015177 (Illinois)
Definition
Definition to come...
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