ROSEMARY WILSON (NPI# 1306392949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306392949 |
| Entity Type | Individual |
| Full Name | ROSEMARY WILSON |
| Credential | ARNP, FNP |
| Practice Address |
1375 E King Ave Ste A Kingsland GA 31548 |
| Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
| Practice Telephone | 9125846440 |
| Practice Fax Number | 9125846449 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9220366 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
179451 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003181327A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 51 Lindsey Ln, Saint Marys, GA 315581636 | 9043831681 | |
| 5500 Blanding Blvd, Jacksonville, FL 32244 | 9045183161 | 9049003957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033412028 | Rosemary Wilson | Psychiatry & Neurology | 12717 E Doubletree Ranch Rd, Scottsdale, AZ 85259-6118 | 2010-12-13 |
| 1104249119 | Rosemary Wilson | Behavioral Analyst | 120 Wyatt Dr, Las Cruces, NM 88005-2925 | 2014-01-27 |
| Street Address |
1375 E KING AVE STE A |
| City | KINGSLAND |
| State | GA |
| Zip Code | 31548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851482681 | Martha Patricia Sanchez-silva | Family Medicine | 1375 E King Ave Ste A, Kingsland, GA 31548-6831 | 2006-09-27 |
| 1003320433 | Krystle Williams Swain | Physician Assistant | 1375 E King Ave Ste A, Kingsland, GA 31548-6831 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
| 1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
| 1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
| 1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
| 1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
| Find all providers in zip 31548 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686993 | Stephanie Schow | Nurse Practitioner | 126 Miller Ct, Kingsland, GA 31548-7107 | 2020-07-22 |
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1780193524 | Tammy Whitehead | Nurse Practitioner | 525 Ranch Road 2900, Kingsland, TX 78639-6000 | 2017-09-25 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083053045 | Donna Jean Hooks | Nurse Practitioner | 501 Kings Bay Rd, Kingsland, GA 31548-6803 | 2013-06-22 |
| 1780904052 | Lauren Mary-marie Cleveland | Nurse Practitioner | 130 N Gross Rd Ste 201, Kingsland, GA 31548-6277 | 2010-06-09 |
| 1164936621 | Kimberly Michelle Gomez | Nurse Practitioner | 1601 Hwy 40 E, Ste M, Kingsland, GA 31548 | 2017-11-20 |
| 1063932101 | Cynthia Dawn White | Nurse Practitioner | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2017-06-20 |
| 1700269958 | Courtney Marie Popwell | Nurse Practitioner | 711 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548-5664 | 2015-07-07 |
| 1912335100 | Kimberly H Graw | Nurse Practitioner | 130 N Gross Road, Suite 201, Kingsland, GA 31548 | 2013-10-24 |
| Find all providers in KINGSLAND | ||||
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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.