Alice L Wilson, LPN is a
Licensed Practical Nurse based in Gray, Louisiana. Alice L Wilson is licensed to practice in Louisiana (license number 20100410) and her current practice location is
4266 W Main St Ste 101, Gray, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(985) 713-2747.
NPI number for Alice L Wilson is 1891565636 and her current mailing address is Po Box 1264, Gray, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891565636.
Provider's Profile
Full Name | Alice L Wilson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 4266 W Main St Ste 101, Gray, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891565636
- Provider Enumeration Date: 01/03/2024
- Last Update Date: 01/03/2024
Medical Identifiers
Medical identifiers for Alice L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891565636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 20100410 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alice L Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alice L Wilson, LPN Po Box 1264, Gray, LA 70359-1264 Ph: (985) 713-2747 | Alice L Wilson, LPN 4266 W Main St Ste 101, Gray, LA 70359-6421 Ph: (985) 713-2747 |
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