Kaitlin Wilson
Nurse Practitioner - Women's Health
5195 Jimmy Carter Blvd
Norcross
, Georgia 30093-1649
Kaitlin Wilson
Nurse Practitioner - Women's Health
5195 Jimmy Carter Blvd
Norcross
, Georgia 30093-1649
(571) 721-0455
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Kaitlin Wilson
- 4491 Village Springs Pl
- Dunwoody, GA
- Zip : 30338-2401
- Phone : (571) 721-0455
Second Address
- Kaitlin Wilson
- 5195 Jimmy Carter Blvd
- Norcross, GA
- Zip : 30093-1649
- Phone : (470) 514-5818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 251088 | GA |
National Provider Identifier
| NPI | 1003465337 |
|---|---|
| Provider Name | Kaitlin Wilson |
| First Address | Dunwoody, GA 30338-2401 |
| Second Address | Norcross, GA 30093-1649 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
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.