Individual provider · Type 1 NPI

Mary Katherine Wilson, APRN, PNP-PC

Pediatric Nurse Practitioner · Houston, TX

NPI number 1457039026 Active

Practice location

6621 Fannin St # 2210
Houston, TX 77030-2358

Call (832) 824-2000 Map

Mailing address

4215 Lillian St
Houston, TX 77007-5622

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1127530 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1457039026

Mary Katherine Wilson, APRN, PNP-PC's National Provider Identifier is 1457039026, issued on Jul 5, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Houston, TX. The record was last updated on Jul 16, 2025.