ELIZABETH L. WILSON


Address: 2225 U S Highway 41 N, Tifton, GA 31794
Phone: 2293914100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RN191733 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA GA MEDICAL LICENSE RN191733 01

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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

Office Location

Street Address 2225 U S HIGHWAY 41 N
City TIFTON
State GA
Zip Code 31794

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427167899 Carrie Lyn Parson Nurse Practitioner 2225 Us Highway 41 N, Tifton, GA 31794-2749 2006-08-30

Providers in the same taxonomy and state

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
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Competitor

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City TIFTON
Zip Code 31794

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Dataset Information

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.

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