Individual provider · Type 1 NPI

Taylor Wilson

Acute Care Nurse Practitioner · Hannibal, MO

NPI number 1831629575 Active

Practice location

6000 Hospital Dr
Hannibal, MO 63401-6887

Fax (573) 248-5210

Mailing address

PO Box 551
Hannibal, MO 63401-0551

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X041386624 (IL)
Gerontology Nurse Practitioner 363LG0600X209016225 (IL)
Acute Care Nurse Practitioner 363LA2100X209016225 (IL)
Registered Nurse 163W00000X2024013179 (MO)
Adult Health Nurse Practitioner 363LA2200X209016225 (IL)
Acute Care Nurse Practitioner Primary 363LA2100X2024032578 (MO)
Nurse Practitioner 363L00000X209016225 (IL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1831629575

Taylor Wilson's National Provider Identifier is 1831629575, issued on Jun 15, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hannibal, MO. The record was last updated on Aug 12, 2026.