Individual
HEATHER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2064 EAST SOUTH BLVD, SUITE 204, MONTGOMERY, AL 36116-2460
(334) 281-6990
(334) 281-9725
Mailing address
2064 EAST SOUTH BLVD. STE 204, MONTGOMERY, AL 36116-2460
(334) 281-6990
(334) 281-9725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-118043
AL
Other
Enumeration date
04/20/2016
Last updated
02/01/2024
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