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Licensee Information

Tara Nicole Wilson - PA-C
0010-11443
Active
No
07/14/2021
05/19/2027

Active Supervisor

NameTypeStatusApprovedInactive
Coutinho, Desiree Ann, MD MD Active 04/19/2026
Smith, Daniel Clarence, MD MD Active 06/16/2025
Suarez, Arturo, MD MD Active 03/13/2024

North Carolina Hospital Admitting Privileges

Location
Duke Raleigh Hospital
Moses Cone Health System

Out of State Active/Inactive Licenses

State
District of Columbia
North Carolina
Pennsylvania
Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 4:12:58 PM

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