Individual
MELANIE MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
7751 BELFORT PKWY STE 120, JACKSONVILLE, FL 32256-6921
(904) 372-3943
(904) 212-1618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1162338
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-162338
AL
Other
Enumeration date
04/30/2020
Last updated
10/10/2023
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