Individual provider · Type 1 NPI
Elizabeth L. Wilson, PNP
Pediatric Nurse Practitioner · Tifton, GA
NPI number
1093080541
Active
Practice location
215 12th St W
Tifton, GA 31794-3923
Fax (229) 396-5330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN191733 (GA) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Tifton
About NPI 1093080541
Elizabeth L. Wilson, PNP's National Provider Identifier is 1093080541, issued on Mar 16, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tifton, GA. The record was last updated on Apr 29, 2026.