Individual provider · Type 1 NPI

Kimberly Susann Wilson, APRN

Adult Health Nurse Practitioner · Spartanburg, SC

NPI number 1689812802 Active

Practice location

101 E Wood St
Spartanburg, SC 29303-3040

Fax (864) 560-7715

Mailing address

PO Box 2168
Spartanburg, SC 29304-2168

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X3974 (SC)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1689812802

Kimberly Susann Wilson, APRN's National Provider Identifier is 1689812802, issued on Jan 26, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Spartanburg, SC. The record was last updated on Jan 18, 2021.