Wilson, Jaci F
Wilson, Jaci F is an sole proprietor health care provider with primary practice located at 304 Turner Mccall Blvd Sw Hospitalist Office, Rome GA 30165-5621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wilson, Jaci F can be contacted via phone (706) 378-9833.Contact Information
Primary practice address
304 Turner Mccall Blvd Sw Hospitalist Office
Rome GA 30165-5621
Phone: (706) 378-9833
Fax: (866) 894-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN140128 | Georgia |
Profile Details
| NPI number | 1538414495 |
|---|---|
| LBN Legal business name | Wilson, Jaci F |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jul 17th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538414495 | NPPES |
| Georgia | Other | RN140128 | RN LICENSE |
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