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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS GEORGIA WILSON, LPN

Active Sole Proprietor

MISS GEORGIA WILSON, LPN is a Licensed Practical Nurse healthcare provider located in LOWER BRULE, South Dakota. NPI 1699209775 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · LOWER BRULE, SD

Registration Details

NPI Number
1699209775
Provider Type
Individual
Gender
Female
NPI Issued
Apr 17, 2017 (9.2845598838726 yrs)
Last Updated
Apr 17, 2017
License
P011717 (SD)
Sole Proprietor
Yes

Practice Information

Address
601 GALL ST.
LOWER BRULE, SD, 57548
Browse SD providers · Browse ZIP 57548
Phone
6054738243
Fax
6054730607
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in LOWER BRULE, SD

Name Credential NPI
IVA JEAN BOLMAN LPN 1336328574
DESIREE NOLENE LAROCHE LPN 1104119700
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.