Organization
CLIO HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA S WILSON LNP (CEO)
(334) 490-1200
Entity
Organization
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
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
12/27/2023
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