Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Audra Anne Wilson, PA-C

Individual provider Medical Physician Assistant · NPI 1457815755

MS. Audra Anne Wilson, PA-C is a Medical Physician Assistant in Little Rock, Arkansas. Works from 2 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4100 Outpatient Cir
Little Rock, AR 72205-7101
Phone: (501) 686-6765
Fax: (501) 686-5609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1308 E Kiehl Ave, Sherwood, AR 72120-3040 — (501) 835-0703

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-834 (AR)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1457815755
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2019
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

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