| Laura Ann Wilson, FNP-C | |
|
1000 Eleven S Ste 1a, Columbia, IL 62236-1078 | |
| (618) 281-8400 | |
| Not Available |
| Full Name | Laura Ann Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1000 Eleven S Ste 1a, Columbia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710604780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209026113 (Illinois) | Primary |
| Entity Name | Ahs Il Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Ann Wilson, FNP-C 1130 Jacob Dr, Red Bud, IL 62278-2433 Ph: (618) 719-4939 | Laura Ann Wilson, FNP-C 1000 Eleven S Ste 1a, Columbia, IL 62236-1078 Ph: (618) 281-8400 |
Kristen Nicole Massey, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236 Phone: 618-281-7373 | |
Frances Karnuth, DNP APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Eleven S Ste 4a, Columbia, IL 62236 Phone: 618-206-6120 | |
Ms. Vanessa D Pratt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S Ste 1a, Columbia, IL 62236 Phone: 618-470-6020 Fax: 618-470-6021 | |
Mrs. Suan Marie Rachels, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Wenkel St, Columbia, IL 62236 Phone: 618-444-5455 | |
Malissa Miller, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 N Main St Ste 2a, Columbia, IL 62236 Phone: 618-693-9313 | |
Adriana Juanita Corwin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Eleven S, Columbia, IL 62236 Phone: 618-281-7010 | |
Mrs. Tina Louise Valentine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 S Main St, Columbia, IL 62236 Phone: 618-281-7151 |