Wilson, Katherine Ann
Wilson, Katherine Ann is an individual health care provider with primary practice located at 30 Ardisia Lane , St. Johns FL 32259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Katherine Ann can be contacted via phone (904) 287-2794.Contact Information
Primary practice address
30 Ardisia Lane
St. Johns FL 32259
Phone: (904) 287-2794
Fax: (904) 390-7458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005035 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9104552 | Florida |
Profile Details
| NPI number | 1235353988 |
|---|---|
| LBN Legal business name | Wilson, Katherine Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Sep 20th, 2022 - about 3 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 | 1235353988 | NPPES |
| Georgia | MEDICAID | 411072211A |
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