SAMANTHA MARIE WILSON
Individual Provider (NPI-1)
Active
Registered Nurse, Critical Care Medicine
Provider Information
- NPI Number
1992441927- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1125 MADISON ST, JEFFERSON CITY, MO, 651015227
- Phone
- (573) 632-5000
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
Primary License: MO #20180033371
All Addresses
MAILING
1125 MADISON ST
JEFFERSON CITY, MO, 651015227