MRS. JOLIE LEE WILSON RN NPI 1831578749

NPI Information

NPI: 1831578749
Provider Name: MRS. JOLIE LEE WILSON, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1449 TEMPLE RD
BREMEN, GA
ZIP 30110
Phone: (770) 537-2367
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MRS. Jolie Lee Wilson, RN is a psychiatric/mental health nurse practitioner in Bremen, GA with 3 years of experience. MRS. Jolie Lee Wilson, RN NPI is 1831578749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1449 TEMPLE RD
BREMEN, GA
ZIP 30110-378
Phone: (770) 537-2367
Fax: (770) 537-1203

The NPI 1831578749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 1/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN220869	GEORGIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1-155609	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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