MRS. JOANN MARIE WILSON (NPI# 1073762308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073762308 |
| Entity Type | Individual |
| Full Name | MRS. JOANN MARIE WILSON |
| Other Name | MISS JOANN MARIE ADAMS |
| Credential | RN, APRN-BC |
| Practice Address |
2023 Vadalabene Dr Ste 300 Maryville IL 62062-5846 |
| Mailing Address |
916 Talon Dr O Fallon IL 62269-1848 |
| Practice Telephone | 6182886722 |
| Practice Fax Number | 6182882077 |
| Mailing Telephone | 6186288211 |
| Mailing Fax Number | 6186280883 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209008172 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
151656 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1598031833 | Joann Wilson | Social Worker | 702 N Logan Ave, Danville, IL 61832-4323 | 2012-03-30 |
| 1427241751 | Joann Wilson | Social Worker | 3011 W Grand Blvd, Ste 2000, Detroit, MI 48202-3096 | 2007-08-21 |
| 1942406293 | Joann Wilson | Occupational Therapist | 206 S Dittman St, Frontenac, KS 66763-2253 | 2007-06-25 |
| 1093861551 | Joann Wilson | Registered Nurse | 2480 Llewellyn Ave, Fort George G Meade, MD 20755-5800 | 2007-01-26 |
| 1811048051 | Joann M Wilson | Occupational Therapist | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2007-01-15 |
| Street Address |
2023 VADALABENE DR STE 300 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078087 | Interventional Pain Consultants LLC | Pain Medicine | 2023 Vadalabene Dr Ste 300, Maryville, IL 62062-5846 | 2020-09-21 |
| 1497237150 | Whitney Nichols | Physical Therapist | 2023 Vadalabene Dr Ste 300, Maryville, IL 62062-5846 | 2018-08-29 |
| 1063943264 | Synergy Healthcare Solutions LLC | Chiropractor | 2023 Vadalabene Dr Ste 300, Maryville, IL 62062-5846 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093256612 | Danielle Nicole Fries | Nurse Practitioner | 6812 State Route 162 Ste 200, Maryville, IL 62062-8562 | 2017-03-15 |
| 1538457080 | Donna K Rule | Nurse Practitioner | 1436 Carowinds Cir, Maryville, TN 37803-6782 | 2011-07-19 |
| 1205167509 | Advanced Medical Group | Nurse Practitioner | 717 Watkins Rd, Maryville, TN 37801-4598 | 2010-01-26 |
| 1386033652 | Melissa Ambler | Nurse Practitioner | 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2015-01-09 |
| 1336565852 | Marsheika Filer | Nurse Practitioner | 6800 State Route 162, Maryville, IL 62062-8500 | 2014-03-07 |
| 1619254968 | Hope R. Sellars | Nurse Practitioner | 162 Bmh Physicians Office Bldg, Maryville, TN 37804-5902 | 2011-11-14 |
| 1265735849 | Kristi Knight | Nurse Practitioner | 162 Bmh Physicians Office Bldg, Maryville, TN 37804-5902 | 2010-12-21 |
| 1215265319 | Donna Kay Myers | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2009-12-01 |
| 1427201698 | Perry Jack Weeks | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2008-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.