Kimberly Ellison Wilson in Northport - Family
Kimberly Ellison Wilson - NPI 1285826057
Kimberly Ellison Wilson is a Family in Northport, Alabama. Kimberly Ellison Wilson practices all healthcare services and medical treatments related to Family. The NPI Number for Kimberly Ellison Wilson is 1285826057. The last update date is 2012-09-25.
Kimberly Ellison Wilson's current location address is 1325 Mcfarland Blvd, Northport, Alabama. You can contact this provider via phone number 2053305266 and fax number 2053309915. The mailing address for Kimberly Ellison Wilson is 1325 Mcfarland Blvd, Northport, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimberly Ellison Wilson |
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Address | 1325 Mcfarland Blvd, Northport, Alabama |
Phone Number | 2053305266 |
Fax Number | 2053309915 |
Sole Proprietor | N |
Credentials | CRNP |
NPI Number Detail
NPI Number | 1285826057 |
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Provider Enumeration Date | 2007-08-15 |
Last Updated Date | 2012-09-25 |
Provider Mailing Address Detail
Address | 1325 Mcfarland Blvd |
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City | Northport |
State | Alabama (AL) |
Post Code | 354763270 |
Phone Number | 2053305266 |
Fax Number | 2053309915 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 1-078924 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
511-00428 | AL | BCBS OF ALABAMA | |
115069/13364749 | AL | -- |
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What is the unique 10-digit identification code issued to Kimberly Ellison Wilson by the Centers for Medicare & Medicaid Services?
The Kimberly Ellison Wilson has been assigned the NPI (National Provider Identifier) 1285826057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kimberly Ellison Wilson's facilities are situated?
The facilities of Kimberly Ellison Wilson are physically located at the following address: 1325 Mcfarland Blvd, Northport, AL, 354763270.
What is Kimberly Ellison Wilson's area of expertise and its corresponding taxonomy classification?
The Kimberly Ellison Wilson's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kimberly Ellison Wilson receive the assignment of its 1285826057 from the Centers for Medicare & Medicaid Services?
The Kimberly Ellison Wilson was issued its 1285826057 by the Centers for Medicare & Medicaid Services on 2007-08-15.
When was the information pertaining to Kimberly Ellison Wilson most recently updated or revised?
The details related to Kimberly Ellison Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-25.
NPI Number: 1114919206
Address: 3845 Hendersonville Rd, Fletcher, NC