MRS. JOHNNIE S WILSON NPI 1275509580

NPI Information

NPI: 1275509580
Provider Name: MRS. JOHNNIE S WILSON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
207 E COURT ST
NEWTON, TX
ZIP 75966
Phone: (409) 379-2647
Get Directions

MRS. Johnnie S Wilson is a family nurse practitioner in Newton, TX. MRS. Johnnie S Wilson NPI is 1275509580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

207 E COURT ST
NEWTON, TX
ZIP 75966-203
Phone: (409) 379-2647
Fax: (409) 379-2349

The NPI 1275509580 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 6/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	535111	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	564467	MEDICARE UPIN	TEXAS
2	535111	OTHER	TEXAS	RN LICENSE
3	88083H	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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