Individual provider · Type 1 NPI

Justin Wilson, CRNP

Family Nurse Practitioner · Cullman, AL

NPI number 1417420704 Active

Practice location

408 Clark St NE
Cullman, AL 35055-1953

Fax (256) 962-5236

Mailing address

PO Box 2895
Cullman, AL 35056-2895

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-133787 (AL)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1417420704

Justin Wilson, CRNP's National Provider Identifier is 1417420704, issued on Jan 9, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cullman, AL. The record was last updated on Feb 3, 2026.