MR. BASIL ALEXANDER WILSON ARNP NPI 1447259569

NPI Information

  • NPI: 1447259569
  • Provider Name: MR. BASIL ALEXANDER WILSON, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1801 CRYSTAL LAKE DR
    LAKELAND, FL
    ZIP 33801
  • Phone: (863) 937-8886

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NPI Details

MR. Basil Alexander Wilson, ARNP is a family nurse practitioner in Lakeland, FL. MR. Basil Alexander Wilson, ARNP NPI is 1447259569. 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:

1801 CRYSTAL LAKE DR
LAKELAND, FL
ZIP 33801-979
Phone: (863) 937-8886
Fax: (863) 937-8892

The enumeration date for this NPI number is 7/20/2005 and was last updated on 10/14/2013.

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
1363LF0000XNurse PractitionerFamilyARNP 2068702FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1303424100MEDICAIDFLORIDA
2034712822OTHERFLORIDAANCC NATIONAL CERT.
3ARNP 2068702OTHERFLORIDALICENSE NUMBER

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: 11/21/2025

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