Individual
AMBER A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 1ST ST STE 410, MACON, GA 31201-8306
(478) 743-7068
(478) 741-1354
Mailing address
119 ROBERTS RD, KATHLEEN, GA 31047-2717
(478) 952-0974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN216840
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP216840
GA
363LF0000X
Family Nurse Practitioner
APRN-NP216840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003199943H
—
GA
05
—
003199943I
—
GA
05
—
003199943J
—
GA
Enumeration date
08/02/2017
Last updated
10/27/2025
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