IndividualActive
Alicia Wilson
NPI 1053072074 · Psychiatric/Mental Health Registered Nurse · Smyrna, GA
Provider details
- NPI number
- 1053072074
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN254415 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
4590 Valley Pkwy Se Apt G
Smyrna, GA 30082-4981
Phone: (470) 503-8053
Approximate (ZIP-level) locationGet directions
Mailing address
4590 Valley Pkwy Se Apt G
Smyrna, GA 30082-4981
Registry dates
- Enumerated
- 2022-01-02
- Last updated
- 2022-01-02
- Certified
- 2022-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.