Individual provider · Type 1 NPI
Laura Renae Wilson, MSN, APRN-BC
Primary Care Nurse Practitioner · Stone Mountain, GA
NPI number
1104032218
Active
Practice location
5405 Memorial Dr Ste D
Stone Mountain, GA 30083-3236
Fax (404) 297-8753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 004365 (CT) |
| Family Nurse Practitioner | 363LF0000X | 701633 (TX) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN247115 (GA) |
Primary Care Nurse Practitioner: Definition to come...
4 other providers at this address
- The Pediatric Center of Stone MountainPediatrics Physician Stone Mountain, GA NPI 1699139675
- Justin Stewart Kitchens, NP-CFamily Nurse Practitioner Stone Mountain, GA NPI 1073050449
- Laura Lynn Hudson-Yedvobnick, PAPhysician Assistant Stone Mountain, GA NPI 1861526030
- Lucinda Johnson Sellers, CPNPPediatric Nurse Practitioner Stone Mountain, GA NPI 1427350719
Other primary care nurse practitioner providers in Stone Mountain
About NPI 1104032218
Laura Renae Wilson, MSN, APRN-BC's National Provider Identifier is 1104032218, issued on May 15, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Stone Mountain, GA. The record was last updated on Mar 6, 2019.