Individual
HOLLEY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
3909 MCFARLAND BLVD, NORTHPORT, AL 35476-2838
(205) 330-1707
(205) 333-0782
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-095123
AL
363LF0000X
Family Nurse Practitioner
Primary
1-095123
AL
Other
Enumeration date
11/03/2007
Last updated
02/02/2023
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