Individual provider · Type 1 NPI

Stephanie Lynn Wilson, FNP-BC

Nurse Practitioner · Lutz, FL

NPI number 1336685395 Active

Practice location

4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005

Fax (813) 463-1801

Mailing address

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X9479701 (FL)
Family Nurse Practitioner 363LF0000XAPN0000021911 (TN)
Nurse Practitioner Primary 363L00000XAPRN9479701 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336685395

Stephanie Lynn Wilson, FNP-BC's National Provider Identifier is 1336685395, issued on Jan 16, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lutz, FL. The record was last updated on Oct 28, 2022.