# MWILSONCRNP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MWilsonCRNP, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700603636
- **Authorized official:** MELINDA WILSON CRNP (CEO)
- **Authorized official phone:** (205) 789-1804

## Contact information

- **Practice address:** 2737 GRIFFIN WAY, HOOVER, AL 35244-7300
- **Practice address phone:** (205) 789-1804
- **Mailing address:** 2737 GRIFFIN WAY, HOOVER, AL 35244-7300
- **Mailing address phone:** (205) 789-1804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | — | NULL | Yes |
| 363LN0000X | Neonatal Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024