Wilson, Dewanna
Wilson, Dewanna is an sole proprietor health care provider with primary practice located at 1421 Mount Water Ct , Lawrenceville GA 30043-6234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Dewanna can be contacted via phone (404) 645-2960.Contact Information
Primary practice address
1421 Mount Water Ct
Lawrenceville GA 30043-6234
Phone: (404) 645-2960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN200756 | Georgia |
Profile Details
| NPI number | 1215473319 |
|---|---|
| LBN Legal business name | Wilson, Dewanna |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2017 |
| Last updated | May 19th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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