Most Relevant Information
Provider Data
| NPI Number: | 1003337205 |
| Provider Name: | CHARMAINE JOHNSON WILSON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP134297 |
Most Important Dates
| Enumeration Date: | 06/28/2017 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
265 FRANKLIN ST STE 1702
BOSTON
MA
021103144
Practice Location Phone/Fax
| Phone: | 8888033337 |
| Fax: | 8888033331 |
Provider Mailing Location
8 SPLIT ROCK CT
FRISCO
TX
750330407
Provider Mailing Phone/Fax
| Phone: | 5046215650 |
| Fax: |