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Kassi Lee Wilson, PNP-PC
Pediatric Nurse Practitioner in Tampa, Florida
NPI 1871163170

Kassi Lee Wilson is a Pediatric Nurse Practitioner based in Tampa, FL and is specialized in Pediatrics. Kassi Lee Wilson practices in Tampa, FL and has the professional credentials of PNP-PC. The NPI Number for Kassi Lee Wilson is 1871163170 and holds a License No. APRN11012885 (Florida).

The current practice location address for Kassi Lee Wilson is 2 Tampa General Cir, Tampa, FL and can be reached out via phone at 813-821-8038 and via fax at 813-821-8359.

Location: 2 Tampa General Cir, Tampa, FL, 33606-3571
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Provider Profile Details
NPI Number
1871163170
Provider Name
Kassi Lee Wilson
Credential
PNP-PC
Provider Entity Type
Individual
Gender
Female
Address
2 Tampa General Cir, Tampa, FL, 33606-3571
Phone Number
813-821-8038
Fax Number
813-821-8359
Provider Enumeration Date
06/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8ITXD 01 FL BLUE CROSS BLUE SHIELD
111087300 05 FL
institution
Provider Business Practice Location Address Details
Address
2 Tampa General Cir
City
State
Zip
33606-3571
Phone Number
813-821-8038
Fax Number
813-821-8359
person
Provider Business Mailing Address Details
Address
2 Tampa General Cir
City
State
Zip
33606-3571
Phone Number
813-821-8038
Fax Number
813-821-8359
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APRN11012885 (Florida)
Definition
Definition to come...
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