Vita J Wilson is a Family in Gulfport, Mississippi. Vita J Wilson practices all healthcare services and medical treatments related to Family. The NPI Number for Vita J Wilson is 1912087669. The last update date is 2007-07-08.
Vita J Wilson's current location address is 1452 Tally Ho Cir, Gulfport, Mississippi. You can contact this provider via phone number 2288967568. The mailing address for Vita J Wilson is 1452 Tally Ho Cir, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vita J Wilson |
|---|---|
| Address | 1452 Tally Ho Cir, Gulfport, Mississippi |
| Phone Number | 2288967568 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1912087669 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1452 Tally Ho Cir |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395074229 |
| Phone Number | 2288967568 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R671908 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Vita J Wilson by the Centers for Medicare & Medicaid Services?
The Vita J Wilson has been assigned the NPI (National Provider Identifier) 1912087669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Vita J Wilson's physical address?
The Vita J Wilson is physically located at 1452 Tally Ho Cir, in the city of Gulfport, MS, with the postal code 395074229.
What is Vita J Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vita J Wilson is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did Vita J Wilson receive its 1912087669 assignment from the Centers for Medicare & Medicaid Services?
The Vita J Wilson was assigned its 1912087669 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Vita J Wilson's information last updated?
The Vita J Wilson's information was last updated on 2007-07-08.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN