Provider Demographics
NPI:1902204746
Name:WILSON, JOSSELINE ISABEL (ARNP-C)
Entity Type:Individual
Prefix:
First Name:JOSSELINE
Middle Name:ISABEL
Last Name:WILSON
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2564 HIDDEN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-6701
Mailing Address - Country:US
Mailing Address - Phone:251-455-8835
Mailing Address - Fax:
Practice Address - Street 1:2564 HIDDEN CREEK DR
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-6701
Practice Address - Country:US
Practice Address - Phone:251-455-8835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9351358163W00000X
FLAPRN9351358363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse