Individual provider · Type 1 NPI
Tammy Lynn Wilson, AGACNP
Adult Medicine Physician · Laceys Spring, AL
NPI number
1235703240
Active
Practice location
4258 Highway 231 Ste 5
Laceys Spring, AL 35754-6444
Fax (256) 970-2929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-127155 (AL) |
| Acute Care Nurse Practitioner | 363LA2100X | 13227637 (AL) |
| Adult Medicine Physician Primary | 207QA0505X | 1-127155 (AL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
3 other providers at this address
About NPI 1235703240
Tammy Lynn Wilson, AGACNP's National Provider Identifier is 1235703240, issued on May 14, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Laceys Spring, AL. The record was last updated on Oct 12, 2022.