MRS. JOHNNIE S WILSON (NPI# 1275509580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275509580 |
| Entity Type | Individual |
| Full Name | MRS. JOHNNIE S WILSON |
| Practice Address |
207 E Court St Newton TX 75966-3203 |
| Mailing Address |
3406 College St Attn: Legal Dept. Beaumont TX 77701-4612 |
| Practice Telephone | 4093792647 |
| Practice Fax Number | 4093792349 |
| Mailing Telephone | 4098132332 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
535111 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RN LICENSE | 535111 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041592 | Johnnie Lefuel Wilson Iv | Counselor | 6307 Melody Ln, Fayetteville, NC 28304-5554 | 2019-03-11 |
| 1013515188 | Johnnie Mae Wilson | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2020-10-12 |
| 1205303740 | Johnnie Willie Wilson IIi | Counselor | 218 Stonewall St, Cartersville, GA 30120-3628 | 2018-11-01 |
| 1902039845 | Johnnie V Wilson | Speech-Language Pathologist | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2009-08-26 |
| Street Address |
207 E COURT ST |
| City | NEWTON |
| State | TX |
| Zip Code | 75966-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093781304 | Glen S Farris | Physician Assistant | 207 E Court St, Newton, TX 75966-3203 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124241955 | Clint L. Hines, Inc | Skilled Nursing Facility | 405 Shady Acres Ln, Newton, TX 75966 | 2007-04-10 |
| 1689724296 | Burke Center | Intermediate Care Facility, Mental Illness | 700 Mcmahon Ave, Newton, TX 75966 | 2007-01-12 |
| 1124120928 | Newton Family Clinic Pa | Clinic/Center | 207 East Court, Newton, TX 75966 | 2006-09-02 |
| 1831299270 | Brookshire Brothers Inc | Pharmacy | 701 W Court St, Newton, TX 75966-3007 | 2006-09-25 |
| 1174644967 | Newton Pharmacy, Pllc | Pharmacist | 701 W Court St, Newton, TX 75966-3007 | 2007-04-02 |
| 1982613923 | Mihir Das | Internal Medicine | 1304 W Court St, Newton, TX 75966-3009 | 2006-08-07 |
| 1972512986 | East Texas Family Healthcare Pllc | Clinic/Center | 1304 W Court St, Newton, TX 75966-3009 | 2006-08-07 |
| 1861491060 | Michael Allen Mcdonald | Family Medicine | 615 W Court St, Newton, TX 75966-3010 | 2005-07-19 |
| 1083832562 | Jasper Newton County Public Health District | Public Health or Welfare | 210 High St, Newton, TX 75966-3216 | 2007-04-23 |
| 1659443760 | Jimmie D Bussey | Family Medicine | 802 Rusk St, Newton, TX 75966-3222 | 2006-11-14 |
| Find all providers in zip 75966 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318931 | Katherine Lee | Nurse Practitioner | 141 Needham St, Newton, MA 02464-1505 | 2019-10-18 |
| 1891278107 | Jana Hart Brock | Nurse Practitioner | 3389 William Irvin Rd, Newton, GA 39870-7129 | 2018-09-12 |
| 1083112676 | Leatrice M Current | Nurse Practitioner | 112 Kemah Mecca Lake Rd, Newton, NJ 07860-6614 | 2018-01-29 |
| 1629507025 | Marilyn Gamber | Nurse Practitioner | 141 Needham St Ste N205, Newton, MA 02464 | 2017-06-08 |
| 1619423936 | Judieth Darlene Sims | Nurse Practitioner | 858 County Road 426, Newton, AL 36352-3711 | 2016-08-28 |
| 1902289879 | Bridgett Simmons | Nurse Practitioner | 10150 E North Lake Dr, Newton, IL 62448-3461 | 2015-07-09 |
| 1346639267 | Lacey Anderson | Nurse Practitioner | 700 Medical Center Dr Ste 210, Newton, KS 67114-9017 | 2015-01-15 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1346661659 | Business Revenue Corporation | Nurse Practitioner | 615 N 2nd Ave W, Newton, IA 50208-3015 | 2014-01-04 |
| 1316228992 | Melissa Ann Saris | Nurse Practitioner | 978 Boylston Street, Cvs Minute Clinic, Newton, MA 02461 | 2011-09-08 |
| Find all providers in NEWTON | ||||
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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.