Individual provider · Type 1 NPI

Kristen Mabus Wilson, CNP

Family Nurse Practitioner · Spartanburg, SC

NPI number 1831466747 Active

Practice location

380 Serpentine Dr, Suite 200
Spartanburg, SC 29303-3066

Fax (864) 560-0800

Mailing address

PO Box 743070
Atlanta, GA 30374-3070

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XCOA 15085 NP (OH)
Family Nurse Practitioner 363LF0000X207724 (NC)
Family Nurse Practitioner 363LF0000XTL20205 (SC)
Family Nurse Practitioner Primary 363LF0000X20205 (SC)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1831466747

Kristen Mabus Wilson, CNP's National Provider Identifier is 1831466747, issued on Nov 20, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Spartanburg, SC. The record was last updated on Jan 19, 2021.