| NPI | 1285434126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JARRETT WILSON Family Nurse Practitioner 916-918-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-05-17 |