Individual provider · Type 1 NPI
Julie M. Wilson, PhD
Pediatric Nurse Practitioner · Pawtucket, RI
NPI number
1497789069
Active
Practice location
111 Brewster St
Pawtucket, RI 02860-4474
Fax (401) 729-6203
Mailing address
Memorial Hospital Of Rhode Island, 111 Brewster Street
Pawtucket, RI 02860
Other practice locations
- Memorial Hospital Of Rhode Island, 111 Brewster Street, Pawtucket, RI 02860 · (401) 729-6200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | PS00582 (RI) |
| Nurse Practitioner | 363L00000X | PS00582 (RI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN00315 (RI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1497789069
Julie M. Wilson, PhD's National Provider Identifier is 1497789069, issued on Jul 10, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pawtucket, RI. The record was last updated on Jan 27, 2020.