Mrs Ursula S Wilson, FNP | |
1203 Blue Springs St, Clio, AL 36017-2523 | |
(334) 490-1200 | |
(334) 780-1070 |
Full Name | Mrs Ursula S Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1203 Blue Springs St, Clio, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518116581 | NPI | - | NPPES |
111279 | Medicaid | AL | |
1518116581 | Medicaid | AL | |
51597527 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-098903 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-098903 (Alabama) | Primary |
Entity Name | Troy Regional Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003124421 PECOS PAC ID: 1850587361 Enrollment ID: O20101123000759 |
Entity Name | Clio Health Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801503297 PECOS PAC ID: 8628446747 Enrollment ID: O20221122000634 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ursula S Wilson, FNP 1203 Blue Springs St, Clio, AL 36017-2523 Ph: (334) 490-1200 | Mrs Ursula S Wilson, FNP 1203 Blue Springs St, Clio, AL 36017-2523 Ph: (334) 490-1200 |
Ms. Charlene D Mcmullin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Wallace Drive, Easterling Correctional Facility (wexford Health), Clio, AL 36017 Phone: 334-397-4470 | |
Mrs. Ambrea Anthony, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Wallace Dr, Clio, AL 36017 Phone: 334-544-7322 |