NPI 1477290047

Whitney D Wilson

Practitioner Driver Denham Springs, LA

Practice location

Address: 26483 Evangeline Trace Blvd, Denham Springs, LA 70726-6174
Phone: (225) 503-5731

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 008763932 (LA)

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Registry record

NPI: 1477290047
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2022
Record last updated: 16 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.