Individual
JUSTIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
408 CLARK ST NE, CULLMAN, AL 35055-1953
(256) 734-3202
(256) 962-5236
Mailing address
PO BOX 2895, CULLMAN, AL 35056-2895
(256) 735-5044
(256) 801-7626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-133787
AL
Other
Enumeration date
01/09/2019
Last updated
02/03/2026
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