Individual provider · Type 1 NPI

Kassi Lee Wilson, PNP-PC

Pediatric Nurse Practitioner · Tampa, FL

NPI number 1871163170 Active

Practice location

2 Tampa General Cir
Tampa, FL 33606-3571

Fax (813) 821-8359

Mailing address

2 Tampa General Cir Ofc 5057
Tampa, FL 33606-3571

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11012885 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1871163170

Kassi Lee Wilson, PNP-PC's National Provider Identifier is 1871163170, issued on Jun 29, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tampa, FL. The record was last updated on Sep 28, 2023.