Kristi Jo Wilson is a Family in Grand Blanc, Michigan. Kristi Jo Wilson practices all healthcare services and medical treatments related to Family. The NPI Number for Kristi Jo Wilson is 1396862223. The last update date is 2017-03-02.
Kristi Jo Wilson's current location address is 8293 Office Park Dr., Grand Blanc, Michigan. You can contact this provider via phone number 8106943576 and fax number 8107600440. The mailing address for Kristi Jo Wilson is 8293 Office Park Dr., Grand Blanc, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi Jo Wilson |
|---|---|
| Address | 8293 Office Park Dr., Grand Blanc, Michigan |
| Phone Number | 8106943576 |
| Fax Number | 8107600440 |
| Sole Proprietor | N |
| Credentials | F.N.P. - B |
NPI Number Detail
| NPI Number | 1396862223 |
|---|---|
| Provider Enumeration Date | 2007-03-24 |
| Last Updated Date | 2017-03-02 |
Provider Mailing Address Detail
| Address | 8293 Office Park Dr. |
|---|---|
| City | Grand Blanc |
| State | Michigan (MI) |
| Post Code | 48439 |
| Phone Number | 8106943576 |
| Fax Number | 8107600440 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4704162286 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4762420 | MI | -- | |
| 0B51149 | MI | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Kristi Jo Wilson by the Centers for Medicare & Medicaid Services?
The Kristi Jo Wilson has been assigned the NPI (National Provider Identifier) 1396862223. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kristi Jo Wilson located?
The Kristi Jo Wilson is located at 8293 Office Park Dr., Grand Blanc, MI 48439.
What is Kristi Jo Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kristi Jo Wilson's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396862223 to Kristi Jo Wilson?
The Kristi Jo Wilson received its 1396862223 assignment from the Centers for Medicare & Medicaid Services on 2007-03-24.
When was the information related to Kristi Jo Wilson most recently updated or refreshed?
The details pertaining to the Kristi Jo Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-03-02.