Individual
CAROLINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 INDEPENDENCE CT STE 211, HOMEWOOD, AL 35209-4179
(205) 580-1500
(205) 844-3399
Mailing address
1651 INDEPENDENCE CT STE 125, HOMEWOOD, AL 35209-4179
(205) 580-1500
(205) 844-3399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-136920
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
3010847
KY
363LG0600X
Gerontology Nurse Practitioner
3010847
KY
Other
Enumeration date
11/09/2016
Last updated
03/19/2021
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