Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMMY LYNN WILSON, AGACNP
ActiveTAMMY LYNN WILSON, AGACNP is a Adolescent Medicine healthcare provider located in LACEYS SPRING, Alabama. NPI 1235703240 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LACEYS SPRING, AL
Registration Details
- NPI Number
- 1235703240
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2021 (5.2102071265829 yrs)
- Last Updated
- Oct 12, 2022
- Licenses
-
1-127155 (AL)13227637 (AL)1-127155 (AL)
Practice Information
- Address
-
4258 HIGHWAY 231 STE 5LACEYS SPRING, AL, 357546444Browse AL providers · Browse ZIP 35754
- Phone
- 2564986500
- Fax
- 2569702929
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Acute Care Nurse Practitioner
- Additional Specialty
- Adolescent Medicine
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.