ELIZABETH L. WILSON (NPI# 1093080541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093080541 |
Entity Type | Individual |
Full Name | ELIZABETH L. WILSON |
Credential | PNP |
Practice Address |
2225 U S Highway 41 N Tifton GA 31794 |
Practice Telephone | 2293914100 |
Mailing Telephone | 2293914100 |
Enumeration Date | 2012-03-16 |
Last Update Date | 2015-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN191733 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | GA MEDICAL LICENSE | RN191733 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942836556 | Elizabeth Wilson | Dietitian, Registered | 937 S 3rd St Apt A, Columbus, OH 43206-2542 | 2020-03-15 |
1437799012 | Elizabeth E Wilson | Social Worker | 2917 N Highland Ave, Jackson, TN 38305-3407 | 2020-01-10 |
1760023543 | Elizabeth Wilson | Technician | 157 Lee Road 215, Phenix City, AL 36870-8849 | 2019-10-03 |
1992356968 | Elizabeth Wilson | Social Worker | 5236 Meadowdale St, Metairie, LA 70006-3926 | 2019-09-21 |
1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
1023573755 | Elizabeth Wilson | Dietitian, Registered | 8424 4th St N, Saint Petersburg, FL 33702-3659 | 2019-02-06 |
1467989111 | Elizabeth Wilson | Technician | 1216 Granby St Ste 7, Norfolk, VA 23510-2622 | 2017-05-12 |
1841643947 | Elizabeth Wilson | Contractor | 3511 Legation St Nw, Washington, DC 20015-1715 | 2016-07-13 |
1073913091 | Elizabeth Wilson | Counselor | 102 Attu Rd, Seaside, CA 93955-6600 | 2014-08-27 |
1457620841 | Elizabeth Wilson | Counselor | 107 Hexham Dr, Lynchburg, VA 24502-3012 | 2011-12-14 |
Street Address |
2225 U S HIGHWAY 41 N |
City | TIFTON |
State | GA |
Zip Code | 31794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
Find all providers in zip 31794 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427167899 | Carrie Lyn Parson | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.