IndividualActive
Amy Wilson
NPI 1841664042 · Licensed Practical Nurse · Carbondale, IL
Provider details
- NPI number
- 1841664042
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 105739 (AK)
Practice location
2906 W Murphysboro Rd
Carbondale, IL 62901-1060
Phone: (314) 642-1037
Mailing address
2906 W Murphysboro Rd
Carbondale, IL 62901-1060
Registry dates
- Enumerated
- 2015-11-25
- Last updated
- 2015-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.