Search › Florida › 363A00000X
Katherine Wilson, PA-C
NPI 1235353988 · on the registry since 2007
Practice
- Address
- 30 Ardisia Lane
St. Johns, FL 32259 - Phone
- (904) 287-2794
- Fax
- (904) 390-7458
- Clinicians at this address
- 6
Additional practice sites
- 559 W Twincourt Trl Unit 601, St Augustine, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- GA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida