MRS. CARLY SUE WILSON (NPI# 1902318975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902318975 |
| Entity Type | Individual |
| Full Name | MRS. CARLY SUE WILSON |
| Credential | MSN, ARNP, NP-C |
| Practice Address |
790 Veterans Way Pensacola FL 32507-1000 |
| Mailing Address |
1515 E Maxwell Street Pensacola FL 32503 |
| Practice Telephone | 8509122000 |
| Mailing Telephone | 9135797543 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9349431 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
201707263NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386215 | Carly Wilson | Nurse Practitioner | 40606 Mill Road Ct E, Novi, MI 48375-5023 | 2019-10-02 |
| 1477026763 | Carly R Wilson | Speech-Language Pathologist | 2614 S 15th Pl, Broken Arrow, OK 74012-7286 | 2019-01-09 |
| 1205326642 | Carly J Wilson | Specialist/Technologist | Blatt Pe Center - Exercise Science 1300 Wheat Street, Columbia, SC 29208-1121 | 2018-05-10 |
| 1407373400 | Carly Beth Wilson | Case Manager/Care Coordinator | 104 E Three Oaks Dr, Luther, OK 73054-8700 | 2017-08-29 |
| 1992351423 | Carly Renae Wilson | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1518367630 | Carly Kristen Wilson | Social Worker | 200 Springs Rd, Bedford, MA 01730 | 2014-08-26 |
| 1760737381 | Carly M Wilson | Physical Therapist | 400 W Arbrook Blvd, Suite 151, Arlington, TX 76014-3174 | 2012-07-19 |
| Street Address |
790 VETERANS WAY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612436 | Marie S Nelson | Podiatrist | 790 Veterans Way, Pensacola, FL 32507 | 2005-07-11 |
| 1730705344 | Heather Jean Stabley | Dietitian, Registered | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-06-19 |
| 1336776889 | Margaret E Effinger | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-03-25 |
| 1528698990 | Morgan Amanda Tolley | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-01-24 |
| 1982259255 | Frances Lee Hoffman | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-08-05 |
| 1548826514 | Dale Willie Mcghee Jr. | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1477119436 | Meghan Lee | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1104482173 | Julia Marissa Thurman | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1093279531 | Joanna Alexandra Gabison | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-01-29 |
| 1760963524 | Hector Zayas | Counselor | 790 Veterans Way, Pensacola, FL 32507-1000 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
| 1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
| 1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
| 1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
| 1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
| 1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
| 1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
| 1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
| 1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
| 1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
| Find all providers in PENSACOLA | ||||
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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.