Wilson, Kristi Jo

Wilson, Kristi Jo is an individual health care provider with primary practice located at 8293 Office Park Dr. , Grand Blanc MI 48439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Kristi Jo can be contacted via phone (810) 694-3576.

Contact Information

Primary practice address
8293 Office Park Dr. Grand Blanc MI 48439
Fax: (810) 235-2721
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704162286 Michigan

Profile Details

NPI number 1396862223
LBN Legal business name Wilson, Kristi Jo
Credentials F.N.P. - B.C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Mar 2nd, 2017 - about 7 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 1396862223 NPPES
Michigan MEDICAID 4762420
Michigan Other 0B51149

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