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
Phone: (810) 694-3576
Fax: (810) 235-2721
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1396862223 | NPPES |
| Michigan | MEDICAID | 4762420 | |
| Michigan | Other | 0B51149 |
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