| NPI | 1720599376 |
|---|---|
| Other Name | SHERONDA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 889439) |
| 363L00000X Nurse Practitioner (Licence: TN 23370) | |
| Enumeration Date | 2017-10-22 |
| Last Update Date | 2024-05-07 |