Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LAURA RENAE WILSON, MSN, APRN-BC
Active Sole ProprietorMRS. LAURA RENAE WILSON, MSN, APRN-BC is a Primary Care Nurse Practitioner healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1104032218 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · STONE MOUNTAIN, GA
Registration Details
- NPI Number
- 1104032218
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2007 (19.235364290397 yrs)
- Last Updated
- Mar 6, 2019
- Licenses
-
004365 (CT)701633 (TX)RN247115 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5405 MEMORIAL DR STE DSTONE MOUNTAIN, GA, 300833236Browse GA providers · Browse ZIP 30083
- Phone
- 4042963800
- Fax
- 4042978753
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in STONE MOUNTAIN, GA
| Name | Credential | NPI |
|---|---|---|
| NANCY R JACKSON-PATTERSON | NURSE PRACTITIONER | 1366043887 |
| EMMANUEL D DAFIVBIRORO | APRN | 1215633912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.