| Ms Kristi Jo Wilson, FNP - BC | |
|
8293 Office Park Dr., Grand Blanc, MI 48439 | |
| (810) 694-3576 | |
| (810) 235-2721 |
| Full Name | Ms Kristi Jo Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8293 Office Park Dr., Grand Blanc, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396862223 | NPI | - | NPPES |
| 4762420 | Medicaid | MI | |
| 0B51149 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704162286 (Michigan) | Primary |
| Entity Name | Hemant T Thawani Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427081231 PECOS PAC ID: 0648294405 Enrollment ID: O20060119000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristi Jo Wilson, FNP - BC 8293 Office Park Dr., Grand Blanc, MI 48439 Ph: (810) 694-3576 | Ms Kristi Jo Wilson, FNP - BC 8293 Office Park Dr., Grand Blanc, MI 48439 Ph: (810) 694-3576 |
Claire Mcdowell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8483 Holly Rd, Grand Blanc, MI 48439 Phone: 810-694-4107 | |
Mrs. Elizabeth Revere Mcmahan, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9450 S Saginaw Rd Ste E, Grand Blanc, MI 48439 Phone: 810-695-4000 | |
Anna Lee Roth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-232-5627 Fax: 810-232-8024 | |
Natalie Gomez-evans, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6208 | |
Mrs. Bethany M Gilling, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1537 E Hill Rd Ste 400, Grand Blanc, MI 48439 Phone: 810-333-7309 | |
Francesca Marie Evans, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7020 Marigold Dr, Grand Blanc, MI 48439 Phone: 586-405-8030 | |
Kendra Burmeister, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1537 E Hill Rd, Grand Blanc, MI 48439 Phone: 810-333-7309 |