Individual
ELIZABETH L. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
215 12TH ST W, TIFTON, GA 31794-3923
(229) 396-5335
(229) 396-5330
Mailing address
215 12TH ST W, TIFTON, GA 31794-3923
(229) 396-5335
(229) 396-5330
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN191733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN191733
GA MEDICAL LICENSE
GA
Enumeration date
03/16/2012
Last updated
04/29/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us