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DOUGLAS VAN WILSON CRNP NPI 1407417538


NPI Information

NPI: 1407417538
Provider Name: DOUGLAS VAN WILSON, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BAPTIST HEALTH CENTERS LLC

PECOS Registration: Yes

Address:
47344 US HIGHWAY 78
LINCOLN, AL
ZIP 35096
Phone: (205) 763-7848
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Douglas Van Wilson, CRNP is a family nurse practitioner in Lincoln, AL with 5 years of experience. Douglas Van Wilson, CRNP NPI is 1407417538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

47344 US HIGHWAY 78
LINCOLN, AL
ZIP 35096-748
Phone: (205) 763-7848

The NPI 1407417538 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 6/28/2019 and was last updated on 6/28/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily1-107799ALABAMAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.