Individual provider · Type 1 NPI
Mary Jane Lim Wilson, FNP
Family Nurse Practitioner · West Covina, CA
NPI number
1467896753
Active
Practice location
1705 Aspen Village Way
West Covina, CA 91791-3105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 22483 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1467896753
Mary Jane Lim Wilson, FNP's National Provider Identifier is 1467896753, issued on Apr 17, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Covina, CA. The record was last updated on Sep 12, 2013.