IndividualActive
Carolyn Wilson, C.R.N.P.
NPI 1245247428 · Pediatric Nurse Practitioner · Russellville, AL
Provider details
- NPI number
- 1245247428
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- C.R.N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- 1-047836 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14001 Highway 43
Ste 24
Russellville, AL 35653-2849
Phone: (256) 398-7212
Approximate (ZIP-level) locationGet directions
Mailing address
14001 Highway 43
Russellville, AL 35653-2849
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.