Individual provider · Type 1 NPI
Michelle Antoinette Wilson
Family Nurse Practitioner · Hammond, LA
NPI number
1265078166
Active
Practice location
45001 Tanglewood Dr
Hammond, LA 70401-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 32538 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265078166
Michelle Antoinette Wilson's National Provider Identifier is 1265078166, issued on Nov 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hammond, LA. The record was last updated on May 16, 2020.