Provider Demographics
NPI:1598406746
Name:WILSON, YUNIQUE CARRINGTON (FNP-C)
Entity Type:Individual
Prefix:
First Name:YUNIQUE
Middle Name:CARRINGTON
Last Name:WILSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5613 KINGS GROVE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-7891
Mailing Address - Country:US
Mailing Address - Phone:804-245-1995
Mailing Address - Fax:
Practice Address - Street 1:5613 KINGS GROVE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-7891
Practice Address - Country:US
Practice Address - Phone:804-245-1995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-03
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184066363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner