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Justin Wilson, CRNP
Family Nurse Practitioner in Cullman, Alabama
NPI 1417420704

Justin Wilson is a Family Nurse Practitioner based in Cullman, AL and is specialized in Family. Justin Wilson practices in Cullman, AL and has the professional credentials of CRNP. The NPI Number for Justin Wilson is 1417420704 and holds a License No. 1-133787 (Alabama).

The current practice location address for Justin Wilson is 408 Clark St Ne, Cullman, AL and can be reached out via phone at 256-734-3202 and via fax at 256-734-4668.

Location: 408 Clark St Ne, Cullman, AL, 35055-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417420704
Provider Name
Justin Wilson
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
408 Clark St Ne, Cullman, AL, 35055-1921
Phone Number
256-734-3202
Fax Number
256-734-4668
Provider Enumeration Date
01/09/2019
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
241640 05 AL
institution
Provider Business Practice Location Address Details
Address
408 Clark St Ne
City
Cullman
State
Alabama
Zip
35055-1953
Phone Number
256-734-3202
Fax Number
256-734-4668
person
Provider Business Mailing Address Details
Address
408 Clark St Ne
City
Cullman
State
Alabama
Zip
35055-1953
Phone Number
256-734-3202
Fax Number
256-734-4668
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-133787 (Alabama)
Definition
Definition to come...
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