TAMMY LYNN WILSON AGACNP NPI 1235703240

NPI Information

NPI: 1235703240
Provider Name: TAMMY LYNN WILSON, AGACNP
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
4258 HIGHWAY 231 STE 5
LACEYS SPRING, AL
ZIP 35754
Phone: (256) 498-6500
Get Directions

Tammy Lynn Wilson, AGACNP is an adult medicine family medicine in Laceys Spring, AL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Tammy Lynn Wilson, AGACNP NPI is 1235703240. 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:

4258 HIGHWAY 231 STE 5
LACEYS SPRING, AL
ZIP 35754-444
Phone: (256) 498-6500
Fax: (256) 970-2929

The NPI 1235703240 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 5/14/2021 and was last updated on 10/12/2022.

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	363LA2100X	Nurse Practitioner	Acute Care	1-127155	ALABAMA	No
2	363LA2100X	Nurse Practitioner	Acute Care	13227637	ALABAMA	No
3	207QA0505X	Family Medicine	Adult Medicine	1-127155	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: 4/28/2024

NPI Synchronization or Removal

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