Individual provider · Type 1 NPI

Marissa Wilson

Family Nurse Practitioner · Dallas, TX

NPI number 1295324606 Active

Practice location

3500 W Wheatland Rd
Dallas, TX 75237-3460

Mailing address

8016 County Road 305
Grandview, TX 76050-3450

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP141600 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1295324606

Marissa Wilson's National Provider Identifier is 1295324606, issued on Jan 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Jan 12, 2021.