Provider Demographics
NPI:1083256465
Name:WILSON, CHRISTI L (NP)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:L
Last Name:WILSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6 WILSON DR
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AL
Mailing Address - Zip Code:36726-1835
Mailing Address - Country:US
Mailing Address - Phone:052-913-3156
Mailing Address - Fax:
Practice Address - Street 1:45 INDUSTRIAL DR W
Practice Address - Street 2:
Practice Address - City:PINE HILL
Practice Address - State:AL
Practice Address - Zip Code:36769-3369
Practice Address - Country:US
Practice Address - Phone:334-963-2113
Practice Address - Fax:334-963-2116
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-121650163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse