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Kim Dittis Wilson, NP
Nurse Practitioner in Jackson, Michigan
NPI 1134169311

Kim Dittis Wilson is a Nurse Practitioner based in Jackson, MI. Kim Dittis Wilson practices in Jackson, MI and has the professional credentials of NP. The NPI Number for Kim Dittis Wilson is 1134169311 and holds a License No. 4704131316 (Michigan).

The current practice location address for Kim Dittis Wilson is 900 E Michigan Ave Ste 105, Jackson, MI and can be reached out via phone at 517-782-3190 and via fax at 517-782-1223.

Location: 900 E Michigan Ave Ste 105, Jackson, MI, 49201-2490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134169311
Provider Name
Kim Dittis Wilson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
900 E Michigan Ave Ste 105, Jackson, MI, 49201-2490
Phone Number
517-782-3190
Fax Number
517-782-1223
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500017755 01 MI RR MEIDCARE
institution
Provider Business Practice Location Address Details
Address
900 E Michigan Ave Ste 105
City
Jackson
State
Michigan
Zip
49201-2490
Phone Number
517-782-3190
Fax Number
517-782-1223
person
Provider Business Mailing Address Details
Address
900 E Michigan Ave Ste 105
City
Jackson
State
Michigan
Zip
49201-2490
Phone Number
517-782-3190
Fax Number
517-782-1223
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704131316 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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