Individual provider · Type 1 NPI
Shaye Wilson, FNP-C
Family Nurse Practitioner · South West City, MO
NPI number
1245705847
Active
Practice location
10700 S State Highway 43
South West City, MO 64863-7272
Fax (177) 625-2524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2019012514 (MO) |
| Nurse Practitioner | 363L00000X | A006255 (AR) |
| Family Nurse Practitioner Primary | 363LF0000X | 112102 (OK) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in South West City
About NPI 1245705847
Shaye Wilson, FNP-C's National Provider Identifier is 1245705847, issued on Oct 10, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South West City, MO. The record was last updated on Mar 30, 2022.