Individual
MRS. URSULA S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1203 BLUE SPRINGS ST, CLIO, AL 36017-2523
(334) 490-1200
(334) 780-1070
Mailing address
1203 BLUE SPRINGS ST, CLIO, AL 36017-2523
(334) 490-1200
(334) 780-1070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-098903
AL
363LF0000X
Family Nurse Practitioner
Primary
1-098903
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111279
—
AL
05
—
1518116581
—
AL
01
—
51597527
BCBS
AL
Enumeration date
09/15/2008
Last updated
12/27/2023
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