Provider Demographics
NPI:1265413892
Name:WILSON, APRIL L (FNP,MSN)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:L
Last Name:WILSON
Suffix:
Gender:
Credentials:FNP,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ISLE PLZ
Mailing Address - Street 2:
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469-7515
Mailing Address - Country:US
Mailing Address - Phone:540-449-5364
Mailing Address - Fax:
Practice Address - Street 1:531 NORTHRIDGE PARK DR
Practice Address - Street 2:
Practice Address - City:RURAL HALL
Practice Address - State:NC
Practice Address - Zip Code:27045-9575
Practice Address - Country:US
Practice Address - Phone:336-519-6445
Practice Address - Fax:336-519-0660
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001-117946363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007781784Medicaid
VAS36115Medicare UPIN
VA500000178Medicare ID - Type Unspecified
VA007781784Medicaid
VA500000178Medicare PIN