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Contact Information

CAROL M WILSON, RN
745 OLD WARREN RD
MONTICELLO, AR71655-9713
 Phone: 870-460-7445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Home Health

163WH0200X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for CAROL M WILSON · (Female)

NPI Number 1598721417
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/21/2006
Last updated 08/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # R069925
  • AR License # R69925
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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