Wilson, Justine Nicole

Wilson, Justine Nicole is an individual health care provider with primary practice located at 3329 75Th St Ste 200 , Woodridge IL 60517-2700. 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, Justine Nicole can be contacted via phone (630) 964-9400.

Contact Information

Primary practice address
3329 75Th St Ste 200 Woodridge IL 60517-2700
Phone: (630) 964-9400
Fax: (630) 964-9375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F06210382 Illinois

Profile Details

NPI number 1073180188
LBN Legal business name Wilson, Justine Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Sep 15th, 2023 - about last year

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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