Individual
ADAM J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1401 HARRODSBURG RD, A300, LEXINGTON, KY 40504-3751
(859) 313-4744
(859) 276-5939
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013115
NC
363LA2100X
Acute Care Nurse Practitioner
16681NP
OH
363LA2100X
Acute Care Nurse Practitioner
3009626
KY
Other
Enumeration date
02/24/2015
Last updated
07/27/2020
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