Kristy Lynn Wilson, APN | |
3364 W Hwy 18, Manila, AR 72442-0910 | |
(870) 561-3300 | |
(870) 561-3307 |
Full Name | Kristy Lynn Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 3364 W Hwy 18, Manila, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134143472 | NPI | - | NPPES |
158285758 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | A01766 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 247 |
Entity Name | T W Wagner Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720183031 PECOS PAC ID: 1153359096 Enrollment ID: O20050830000950 |
Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
Entity Name | Riverside Medical Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811206923 PECOS PAC ID: 5597944157 Enrollment ID: O20110127001167 |
Mailing Address | Practice Location Address |
---|---|
Kristy Lynn Wilson, APN Po Box 910, Manila, AR 72442-0910 Ph: (870) 561-3300 | Kristy Lynn Wilson, APN 3364 W Hwy 18, Manila, AR 72442-0910 Ph: (870) 561-3300 |
Karley Brooke Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W State Highway 18, Manila, AR 72442 Phone: 708-561-3300 Fax: 870-561-3307 | |
Lacey Poe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 | |
Angie D Hicks-master, ANP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 920 East Medical Drive, Manila, AR 72442 Phone: 810-570-0358 Fax: 870-570-0359 | |
Morgan Bliss Noble, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 Hwy 18 Bypass Ste. B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 | |
Allison Nicole Hitt, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W Hwy 18, Manila, AR 72442 Phone: 870-974-1110 | |
Danna Scott Deaton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 |