CRYSTAL M WILSON (NPI# 1184934549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184934549 |
| Entity Type | Individual |
| Full Name | CRYSTAL M WILSON |
| Credential | LPN |
| Practice Address |
270 Dolly Madison Ct Macon GA 31220-2605 |
| Practice Telephone | 4789577029 |
| Mailing Telephone | 4789577029 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN054323 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740825785 | Crystal Angela Wilson | Social Worker | 8974 162nd St Ste 3, Jamaica, NY 11432-5012 | 2019-11-13 |
| 1598237885 | Crystal Marie Wilson | Social Worker | 22c E Newnan Rd, Newnan, GA 30263-2230 | 2018-12-26 |
| 1245787449 | Crystal Wilson | Specialist | 1031 Wilmington Rd, Turkey, NC 28393-8405 | 2016-09-06 |
| 1407294184 | Crystal Mojne Wilson | Psychiatry & Neurology | Univeristy of Florida 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-04 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1922614551 | Crystal Wilson | Nurse Practitioner | 2120 S Green Rd, South Euclid, OH 44121-3349 | 2020-09-18 |
| 1285255943 | Crystal Dawn Wilson | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2020-05-04 |
| 1407414675 | Crystal Lavonne Wilson | Physical Therapy Assistant | 702 N Main St, Harrison, AR 72601-2900 | 2019-06-03 |
| 1730555186 | Crystal Wilson | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4720 | 2015-08-19 |
| 1730567520 | Crystal Wilson | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2015-05-12 |
| Street Address |
270 DOLLY MADISON CT |
| City | MACON |
| State | GA |
| Zip Code | 31220-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| Find all providers in zip 31220 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038147 | Ashanti Shanklin | Licensed Practical Nurse | 612 Juniper Ln, Macon, GA 31220-7648 | 2019-05-10 |
| 1548654536 | Felicia Michelle Vinson | Licensed Practical Nurse | 141 Walnut Ridge Dr, Macon, GA 31211-6619 | 2015-03-27 |
| 1295133700 | Irecia Crystal Freeman | Licensed Practical Nurse | 9112 Juniper Ln, Macon, GA 31220-7673 | 2014-12-15 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1215534904 | Meshell Denice Cook | Licensed Practical Nurse | 6132 Hawkinsville Rd, Macon, GA 31216-5848 | 2020-10-06 |
| 1851936975 | Maria Diane Little | Licensed Practical Nurse | 6132 Hawkinsville Rd, Macon, GA 31216-5848 | 2019-11-13 |
| 1760027882 | Shannon Greene | Licensed Practical Nurse | 6132 Hawkinsville Rd, Macon, GA 31216-5848 | 2019-11-13 |
| 1417455742 | Robin Kelly | Licensed Practical Nurse | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2018-02-01 |
| 1316456031 | Jena Casas | Licensed Practical Nurse | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-09-26 |
| 1326584137 | Margaret Jennings | Licensed Practical Nurse | 890 Burrus Rd, Macon, GA 31204-1441 | 2017-01-18 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on CRYSTAL M WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.