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Ms. Debra L. Wilson, RNC,FNP
Family Nurse Practitioner in Modesto, California
NPI 1689620882

Debra L. Wilson is a Family Nurse Practitioner based in Modesto, CA and is specialized in Family. Debra L. Wilson practices in Modesto, CA and has the professional credentials of RNC,FNP. The NPI Number for Debra L. Wilson is 1689620882 and holds a License No. 417934 (California).

The current practice location address for Debra L. Wilson is 1444 Florida Ave, Modesto, CA and can be reached out via phone at 209-524-1264.

Location: 1444 Florida Ave, Modesto, CA, 95350-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689620882
Provider Name
Debra L. Wilson
Credential
RNC,FNP
Provider Entity Type
Individual
Gender
Female
Address
1444 Florida Ave, Modesto, CA, 95350-4400
Phone Number
209-524-1264
Fax Number
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9866 01 CA NURSING FURNISHING #
institution
Provider Business Practice Location Address Details
Address
1444 Florida Ave
City
Modesto
State
California
Zip
95350-4400
Phone Number
209-524-1264
Fax Number
person
Provider Business Mailing Address Details
Address
1444 Florida Ave
City
Modesto
State
California
Zip
95350-4400
Phone Number
209-524-1264
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
417934 (California)
Definition
Definition to come...
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