Individual provider · Type 1 NPI
Stacey Wilson, NP
Family Nurse Practitioner · Atlanta, GA
NPI number
1659612075
Active
Practice location
275 Collier Rd NW, Suite 500
Atlanta, GA 30309-1709
Fax (404) 351-5983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN155163 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659612075
Stacey Wilson, NP's National Provider Identifier is 1659612075, issued on Mar 11, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 11, 2013.