Wilson-Carr, Nicole Elaine

Wilson-Carr, Nicole Elaine is an individual health care provider with primary practice located at 357 S Gulph Rd , King Of Prussia PA 19406-3136. 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 / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wilson-Carr, Nicole Elaine can be contacted via phone (610) 892-3800.

Contact Information

Primary practice address
357 S Gulph Rd King Of Prussia PA 19406-3136
Phone: (610) 892-3800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000011646 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 841783 Texas

Profile Details

NPI number 1003990383
LBN Legal business name Wilson-Carr, Nicole Elaine
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 21st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003990383 NPPES
Texas MEDICAID 330021201

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