Individual
MRS. ISABELLA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
2255 FREDERICA RD, ST SIMONS ISLAND, GA 31522-1910
(912) 638-9988
Mailing address
1005 BOULDER DR, GRAY, GA 31032-6141
(478) 621-2072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN279820
GA
363L00000X
Nurse Practitioner
Primary
RN279820
GA
Other
Enumeration date
03/31/2023
Last updated
11/09/2025
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