Katherine Ann Wilson in St. Johns - Physician Assistant
Katherine Ann Wilson - NPI 1235353988
Katherine Ann Wilson is a Physician Assistant in St. Johns, Florida. Katherine Ann Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katherine Ann Wilson is 1235353988. The last update date is 2022-09-20.
Katherine Ann Wilson's current location address is 30 Ardisia Lane, St. Johns, Florida. You can contact this provider via phone number 9042872794 and fax number 9043907458. The mailing address for Katherine Ann Wilson is 30 Ardisia Lane, St. Johns, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Ann Wilson |
|---|---|
| Address | 30 Ardisia Lane, St. Johns, Florida |
| Phone Number | 9042872794 |
| Fax Number | 9043907458 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1235353988 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2022-09-20 |
Provider Mailing Address Detail
| Address | 30 Ardisia Lane |
|---|---|
| City | St. Johns |
| State | Florida (FL) |
| Post Code | 32259 |
| Phone Number | 9042872794 |
| Fax Number | 9043907458 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5035 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 411072211A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Katherine Ann Wilson by the Centers for Medicare & Medicaid Services?
The Katherine Ann Wilson has been assigned the NPI (National Provider Identifier) 1235353988 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Katherine Ann Wilson is physically located?
The Katherine Ann Wilson is situated at the following address: 30 Ardisia Lane, St. Johns, FL 32259.
What is the Katherine Ann Wilson's specialty and taxonomy code?
The Katherine Ann Wilson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235353988 to Katherine Ann Wilson?
The Katherine Ann Wilson received its 1235353988 assignment from the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date were the details related to Katherine Ann Wilson most recently updated or revised?
The information pertaining to Katherine Ann Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-20.