Individual provider · Type 1 NPI

Deann Wilson, PNP-BC

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1770835332 Active

Practice location

621 S New Ballas Rd Ste 63B
St. Louis, MO 63141-8251

Fax (314) 251-3502

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2011037438 (MO)

Pediatric Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1770835332

Deann Wilson, PNP-BC's National Provider Identifier is 1770835332, issued on Oct 8, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Feb 18, 2026.