Individual
JOAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1530 3RD AVE S, THT 422, BIRMINGHAM, AL 35294-0006
(205) 422-2773
Mailing address
1530 3RD AVE S, THT 422, BIRMINGHAM, AL 35294-0006
(205) 422-2773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-119443
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-119443
AL
Other
Enumeration date
09/08/2014
Last updated
02/01/2024
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