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Tia Wilson
Family Nurse Practitioner in Elkton, Kentucky
NPI 1447985676

Tia Wilson is a Family Nurse Practitioner based in Bowling Green, KY and is specialized in Family. Tia Wilson practices in Elkton, KY. The NPI Number for Tia Wilson is 1447985676 and holds a License No. F11210786 (Kentucky).

The current practice location address for Tia Wilson is 105 Elk Fork Rd, Elkton, KY and can be reached out via phone at 270-265-2574.

Location: 105 Elk Fork Rd, Elkton, KY, 42101-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447985676
Provider Name
Tia Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Elk Fork Rd, Elkton, KY, 42101-3004
Phone Number
270-265-2574
Fax Number
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Elk Fork Rd
City
Elkton
State
Kentucky
Zip
42220-7218
Phone Number
270-265-2574
Fax Number
person
Provider Business Mailing Address Details
Address
105 Elk Fork Rd
City
Elkton
State
Kentucky
Zip
42220-7218
Phone Number
270-265-2574
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F11210786 (Kentucky)
Definition
Definition to come...
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