Individual
CAROLYN ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
14001 HIGHWAY 43, STE 24, RUSSELLVILLE, AL 35653-2849
(256) 398-7212
Mailing address
14001 HIGHWAY 43, STE 24, RUSSELLVILLE, AL 35653-2849
(256) 356-9537
(256) 359-2315
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-047836
AL
Other
Enumeration date
08/01/2006
Last updated
04/19/2021
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