Individual provider · Type 1 NPI
Brian Joseph Wilson, NP
Primary Care Nurse Practitioner · Gardendale, AL
NPI number
1265076376
Active
Practice location
729 Goldenrod Dr
Gardendale, AL 35071-2844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 1-131315 (AL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1-131315 (AL) |
| Adult Health Nurse Practitioner | 363LA2200X | 1-131315 (AL) |
| Gerontology Nurse Practitioner | 363LG0600X | 1-131315 (AL) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1265076376
Brian Joseph Wilson, NP's National Provider Identifier is 1265076376, issued on Oct 31, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Gardendale, AL. The record was last updated on Nov 18, 2021.