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Individual

SHANI AMAL WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
4971 SOUTH SHADES CREST ROAD, HELENA, AL 35022
(205) 837-9186
Mailing address
4971 S SHADES CREST RD, HELENA, AL 35022-4315
(205) 837-9186

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-153667
AL

Other

Enumeration date
08/29/2017
Last updated
07/21/2022
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