Individual provider · Type 1 NPI

Courtney Nicole Wilson, NP

Family Nurse Practitioner · Davenport, IA

NPI number 1407403348 Active

Practice location

1130 W 53rd St
Davenport, IA 52806-2401

Fax (563) 204-4474

Mailing address

PO Box 735379
Chicago, IL 60673-5379

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209.020089 (IL)
Family Nurse Practitioner Primary 363LF0000XA155984 (IA)

Family Nurse Practitioner: Definition to come...

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About NPI 1407403348

Courtney Nicole Wilson, NP's National Provider Identifier is 1407403348, issued on Aug 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Davenport, IA. The record was last updated on Mar 13, 2024.