Individual provider · Type 1 NPI

Johnnie S. Wilson

Family Nurse Practitioner · Newton, TX

NPI number 1275509580 Active

Practice location

207 E Court St
Newton, TX 75966-3203

Fax (409) 379-2349

Mailing address

3406 College St, Attn: Legal Dept.
Beaumont, TX 77701-4612

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X535111 (TX)

Family Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1275509580

Johnnie S. Wilson's National Provider Identifier is 1275509580, issued on Feb 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newton, TX. The record was last updated on Jun 27, 2013.