person
Mrs. Kimberly Ellison Wilson, CRNP
Family Nurse Practitioner in Northport, Alabama
NPI 1285826057

Kimberly Ellison Wilson is a Family Nurse Practitioner based in Northport, AL and is specialized in Family. Kimberly Ellison Wilson practices in Northport, AL and has the professional credentials of CRNP. The NPI Number for Kimberly Ellison Wilson is 1285826057 and holds a License No. 1-078924 (Alabama).

The current practice location address for Kimberly Ellison Wilson is 1325 Mcfarland Blvd, Northport, AL and can be reached out via phone at 205-330-5266 and via fax at 205-330-9915. You can also correspond with Kimberly Ellison Wilson through the mailing address at 1325 MCFARLAND BLVD, NORTHPORT, AL - 35476-3270 (mailing address contact number: 205-330-5266).

Location: 1325 Mcfarland Blvd, Northport, AL, 35476-3270
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Provider Profile Details
NPI Number
1285826057
Provider Name
Kimberly Ellison Wilson
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1325 Mcfarland Blvd, Northport, AL, 35476-3270
Phone Number
205-330-5266
Fax Number
205-330-9915
Provider Enumeration Date
08/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
511-00428 01 AL BCBS OF ALABAMA
115069/1336474964 05 AL
institution
Provider Business Practice Location Address Details
Address
1325 Mcfarland Blvd
City
State
Zip
35476-3270
Phone Number
205-330-5266
Fax Number
205-330-9915
person
Provider Business Mailing Address Details
Address
1325 Mcfarland Blvd
City
State
Zip
35476-3270
Phone Number
205-330-5266
Fax Number
205-330-9915
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-078924 (Alabama)
Definition
Definition to come...
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