RANDALL ANN WILSON AGACNP NPI 1013420900

NPI Information

NPI: 1013420900
Provider Name: RANDALL ANN WILSON, AGACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
6439 GARNERS FERRY RD
COLUMBIA, SC
ZIP 29209
Phone: (803) 776-4000
Get Directions

Randall Ann Wilson, AGACNP is an acute care nurse practitioner in Columbia, SC. Randall Ann Wilson, AGACNP NPI is 1013420900. 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:

6439 GARNERS FERRY RD
COLUMBIA, SC
ZIP 29209-638
Phone: (803) 776-4000

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/14/2017.

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	21430	SOUTH CAROLINA	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: 11/14/2023

NPI Synchronization or Removal

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