Individual
MRS. LEIGH ANN STEPHENS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
201 JORDAN RD STE 200, FRANKLIN, TN 37067-4495
(706) 474-4235
(877) 319-4345
Mailing address
163 SEBASTIAN DR, EATONTON, GA 31024-5750
(706) 474-4235
(877) 319-4345
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG0815143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168421A
—
GA
Enumeration date
09/04/2015
Last updated
05/05/2020
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