| Kristy Lynn Wilson, APN | |
|
3364 W Hwy 18, Manila, AR 72442-0910 | |
| (870) 561-3300 | |
| (870) 561-3307 |
| Full Name | Kristy Lynn Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 3364 W Hwy 18, Manila, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134143472 | NPI | - | NPPES |
| 158285758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | A01766 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 272 |
| Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
| Entity Name | Riverside Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811206923 PECOS PAC ID: 5597944157 Enrollment ID: O20110127001167 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Lynn Wilson, APN Po Box 910, Manila, AR 72442-0910 Ph: (870) 561-3300 | Kristy Lynn Wilson, APN 3364 W Hwy 18, Manila, AR 72442-0910 Ph: (870) 561-3300 |
Karley Brooke Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W State Highway 18, Manila, AR 72442 Phone: 708-561-3300 Fax: 870-561-3307 | |
Lacey Poe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 | |
Angie D Hicks-master, ANP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 920 East Medical Drive, Manila, AR 72442 Phone: 810-570-0358 Fax: 870-570-0359 | |
Morgan Bliss Noble, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 Hwy 18 Bypass Ste. B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 | |
Allison Nicole Hitt, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3644 W Hwy 18, Manila, AR 72442 Phone: 870-974-1110 | |
Danna Scott Deaton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 |