Provider Demographics
NPI:1003278987
Name:WILSON, ALLISON PAIGE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:PAIGE
Last Name:WILSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 AGLER RD
Mailing Address - Street 2:STE 2100
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3389
Mailing Address - Country:US
Mailing Address - Phone:614-599-6869
Mailing Address - Fax:614-413-3464
Practice Address - Street 1:3433 AGLER RD
Practice Address - Street 2:STE 2100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3389
Practice Address - Country:US
Practice Address - Phone:614-599-6869
Practice Address - Fax:614-413-3464
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.307864-1163W00000X
OHCOA.18728-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse