Individual
BRIAN JOSEPH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
729 GOLDENROD DR, GARDENDALE, AL 35071-2844
(205) 240-3925
Mailing address
729 GOLDENROD DR, GARDENDALE, AL 35071-2844
(205) 240-3925
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
1-131315
AL
363LA2200X
Adult Health Nurse Practitioner
1-131315
AL
363LG0600X
Gerontology Nurse Practitioner
1-131315
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-131315
AL
Other
Enumeration date
10/31/2019
Last updated
11/18/2021
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