Wilson Telehealth Preventive Care
Organization Active NPI Registered Nurse · Grover, NC
NPI 1821677709 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1821677709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Nurse 163W00000X
- Legal business name
- WILSON TELEHEALTH PREVENTIVE CARE
- Practice address
- 113 Advent Dr
Grover, NC 28073-8558 - Phone
- (704) 974-9558
- NPI assigned
- Apr 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Antoinette Marie Wilson, RN-BSN, MHA, CRRN
- Title
- Owner
- Phone
- (704) 974-9558
Practitioners 1
-
Antoinette Marie Wilson, RN-BSN, MHA, CRRN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | Yes | ||
| Case Management Registered Nurse |
163WC0400X | |||
| Community Health Registered Nurse |
163WC1500X | |||
| Home Health Registered Nurse |
163WH0200X | |||
| Health Educator |
174H00000X |
Addresses
Primary practice location
113 Advent Dr
Grover, NC 28073-8558
Mailing address
113 Advent Dr
Grover, NC 28073-8558
Phone (704) 974-9558
Other providers in Grover, NC
- Serenitys Place, Inc
- Temperance Transport
- Marquita Latrice Walls
- Lothel Watson
- William Albert Weathers
- Antoinette Marie Wilson
All providers in Grover, NC · Registered Nurse in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.