Gloria Katherine Wilson
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Community Health
171 Ashley Ave
Charleston
, South Carolina 29425-5832
Gloria Katherine Wilson
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Community Health
171 Ashley Ave
Charleston
, South Carolina 29425-5832
(843) 792-6200
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Community Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Gloria Katherine Wilson
- Po Box 751461
- Charlotte, NC
- Zip : 28275-1461
- Phone : (843) 792-6200
Second Address
- Gloria Katherine Wilson
- 171 Ashley Ave
- Charleston, SC
- Zip : 29425-5832
- Phone : (843) 792-1414
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 18678 | SC |
| N | 363LC1500X | Nurse Practitioner - Community Health | 18678 | SC |
| N | 363LG0600X | Nurse Practitioner - Gerontology | R162569 | MD |
National Provider Identifier
| NPI | 1184034027 |
|---|---|
| Provider Name | Gloria Katherine Wilson |
| First Address | Charlotte, NC 28275-1461 |
| Second Address | Charleston, SC 29425-5832 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2014 |
| Last Update Date | 19/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.