Wilson, Javda Miasha

Wilson, Javda Miasha is an individual health care provider with primary practice located at 1225 Graham Rd , Florissant MO 63031-8012. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilson, Javda Miasha can be contacted via phone (314) 963-6994.

Contact Information

Primary practice address
1225 Graham Rd Florissant MO 63031-8012
Phone: (314) 963-6994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2013043631 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2013043631 Missouri

Profile Details

NPI number 1124459730
LBN Legal business name Wilson, Javda Miasha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2013
Last updated Aug 4th, 2016 - about 9 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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