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Amanda Jo Wilson, FNP
Family Nurse Practitioner in Midland, Texas
NPI 1609484419

Amanda Jo Wilson is a Family Nurse Practitioner based in Midland, TX and is specialized in Family. Amanda Jo Wilson practices in Midland, TX and has the professional credentials of FNP. The NPI Number for Amanda Jo Wilson is 1609484419 and holds a License No. 1003962 (Texas).

The current practice location address for Amanda Jo Wilson is 4507 Santa Rosa Dr, Midland, TX and can be reached out via phone at 432-683-8516.

Location: 4507 Santa Rosa Dr, Midland, TX, 79707-2260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609484419
Provider Name
Amanda Jo Wilson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4507 Santa Rosa Dr, Midland, TX, 79707-2260
Phone Number
432-683-8516
Fax Number
Provider Enumeration Date
07/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003968 01 TX TEXAS NURSING BORARD
institution
Provider Business Practice Location Address Details
Address
4507 Santa Rosa Dr
City
Midland
State
Texas
Zip
79707-2260
Phone Number
432-683-8516
Fax Number
person
Provider Business Mailing Address Details
Address
4507 Santa Rosa Dr
City
Midland
State
Texas
Zip
79707-2260
Phone Number
432-683-8516
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1003962 (Texas)
Definition
Definition to come...
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