| Doctor Name: | MRS. CHERIE MICHELLE WILSON |
| NPI Number: | 1598833279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 71002297A |
| Business Practice Address: | 9045 Us Highway 31 Berrien Springs, MI - 491031804 |
| Business Phone Number: | 2694732222 |
| Business Fax Number: | 2694736880 |
| Mailing Address: | 9045 Us Highway 31, BERRIEN SPRINGS |
| State: | MI |
| Postal Code: | 491031804 |
| Phone Number: | 2694732222 |
| Fax Number: | 2694736880 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 02/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71002297A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |