Wilson, Carole

Wilson, Carole is an individual health care provider with primary practice located at 1130 N Baldwin Ave , Marion IN 46952-2536. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Carole can be contacted via phone (765) 660-7480.

Contact Information

Primary practice address
1130 N Baldwin Ave Marion IN 46952-2536
Phone: (765) 660-7480
Fax: (765) 382-4495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001615 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001615A Indiana

Profile Details

NPI number 1093820896
LBN Legal business name Wilson, Carole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jan 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093820896 NPPES
Indiana MEDICAID 200487860

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