Javda Miasha Wilson, FNP
Nurse Practitioner in Florissant, MO. Individual provider (NPI-1).
NPI number1124459730
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1124459730
- Entity type
- Individual (NPI-1)
- Name
- Ms. Javda Miasha Wilson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2013
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2013043631 | MO | Yes |
Practice location
1225 Graham RdDept Emergency Medicine
Florissant, MO 63031-8012
Phone 314-362-9123 · Fax 314-747-9160
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-362-9123 · Fax 314-747-9160
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All 27 Nurse Practitioner providers in Florissant · All 2,275 providers in Florissant
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