JUSTIN WILSON

CULLMAN, AL
NPI1417420704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-133787)
Enumeration Date2019-01-09
Last Update Date2024-03-15
Business Address
JUSTIN WILSON CRNP
408 CLARK ST NE
CULLMAN, AL 35055-1953
Phone number: 256-734-3202
Mailing Address
JUSTIN WILSON CRNP
503 CLARK ST NE
CULLMAN, AL 35055-1921
Phone number: 256-739-0801