Individual provider · Type 1 NPI
Kourtney Lynn Wilson, NP
Obstetrics & Gynecology Nurse Practitioner · Fairfield, CA
NPI number
1780824912
Active
Practice location
2702 Low Ct
Fairfield, CA 94534-9771
Fax (707) 432-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | NP18844 (CA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1780824912
Kourtney Lynn Wilson, NP's National Provider Identifier is 1780824912, issued on Feb 27, 2009. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Fairfield, CA. The record was last updated on Feb 27, 2009.