| Mrs Ursula S Wilson, FNP | |
| 1203 Blue Springs St, Clio, AL 36017-2523 | |
| (334) 490-1200 | |
| (334) 780-1070 | 
| Full Name | Mrs Ursula S Wilson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1203 Blue Springs St, Clio, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518116581 | NPI | - | NPPES | 
| 111279 | Medicaid | AL | |
| 1518116581 | Medicaid | AL | |
| 51597527 | Other | AL | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-098903 (Alabama) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 1-098903 (Alabama) | Primary | 
| Entity Name | Troy Regional Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003124421 PECOS PAC ID: 1850587361 Enrollment ID: O20101123000759 | 
| Entity Name | Clio Health Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801503297 PECOS PAC ID: 8628446747 Enrollment ID: O20221122000634 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Ursula S Wilson, FNP 1203 Blue Springs St, Clio, AL 36017-2523 Ph: (334) 490-1200 | Mrs Ursula S Wilson, FNP 1203 Blue Springs St, Clio, AL 36017-2523 Ph: (334) 490-1200 | 
| Ms. Charlene D Mcmullin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Wallace Drive, Easterling Correctional Facility (wexford Health), Clio, AL 36017 Phone: 334-397-4470 | |
| Mrs. Ambrea Anthony, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Wallace Dr, Clio, AL 36017 Phone: 334-544-7322 |