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Jill Bethany Wilson, FNP
Nurse Practitioner in Carbondale, Illinois
NPI 1326314634

Jill Bethany Wilson is a Nurse Practitioner based in Carbondale, IL. Jill Bethany Wilson practices in Carbondale, IL and has the professional credentials of FNP. The NPI Number for Jill Bethany Wilson is 1326314634 and holds a License No. 209009467 (Illinois).

The current practice location address for Jill Bethany Wilson is 409 W Oak St, Carbondale, IL and can be reached out via phone at 618-529-4455 and via fax at 618-351-1287.

Location: 409 W Oak St, Carbondale, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326314634
Provider Name
Jill Bethany Wilson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
409 W Oak St, Carbondale, IL, 62902-3988
Phone Number
618-529-4455
Fax Number
618-351-1287
Provider Enumeration Date
03/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370966854005 05 IL
CF3444 01 IL RR MEDICARE
370966854002 05 IL
209.009467 01 IL ILLINOIS ADVANCE PRACTICE NURSE LICENSE
institution
Provider Business Practice Location Address Details
Address
409 W Oak St
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-529-4455
Fax Number
618-351-1287
person
Provider Business Mailing Address Details
Address
409 W Oak St
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-529-4455
Fax Number
618-351-1287
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209009467 (Illinois)
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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