Wilson, Tina L

Wilson, Tina L is an individual health care provider with primary practice located at 580 Westport Rd , Elizabethtown KY 42701-2949. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Wilson, Tina L can be contacted via phone (270) 765-6196.

Contact Information

Primary practice address
580 Westport Rd Elizabethtown KY 42701-2949
Phone: (270) 765-6196
Fax: (270) 763-0397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1072465 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2609P Kentucky

Profile Details

NPI number 1770551319
LBN Legal business name Wilson, Tina L
Credentials ARNP RN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 6th, 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.

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