DARLENE WILSON (NPI# 1528160066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528160066 |
| Entity Type | Individual |
| Full Name | DARLENE WILSON |
| Credential | APRN |
| Practice Address |
453 Old Ky 11 Booneville KY 41314-0038 |
| Mailing Address |
Po Box 38 Booneville KY 41314-0038 |
| Practice Telephone | 6065936400 |
| Practice Fax Number | 6065938114 |
| Mailing Telephone | 6065936400 |
| Mailing Fax Number | 6065938114 |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2018-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
KY | Behavioral Health & Social Service Providers | |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3004956 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972853380 | Darlene Lynn Wilson | Counselor | 1597 N. Highway 63, Houston, MO 46548 | 2012-09-12 |
| 1194364539 | Darlene Elizabeth Wilson | Registered Nurse | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-01-02 |
| 1912541806 | Darlene Wilson | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2019-11-04 |
| 1558771139 | Darlene Mae Wilson | Counselor | 470 Main St, Mashpee, MA 02649-2047 | 2014-05-05 |
| 1851626667 | Darlene Wilson | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2009-10-12 |
| 1114089778 | Darlene D Wilson | Nurse Practitioner | 2153 Valleygate Dr, Suite 102, Fayetteville, NC 28304-3681 | 2006-12-13 |
| Street Address |
453 OLD KY 11 |
| City | BOONEVILLE |
| State | KY |
| Zip Code | 41314-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841500998 | In House Primary Care Services,pllc | Clinic/Center | 453 Old Ky 11, Booneville, KY 41314-0038 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919936 | Megan Gross | Physical Therapist | 6585 Ky 30 E, Booneville, KY 41314 | 2019-08-29 |
| 1598117640 | Emily Jordan Kidd Parsons | Speech-Language Pathologist | 20 County Barn Road, Booneville, KY 41314 | 2016-07-12 |
| 1710386503 | Jessica Neace | Nurse Practitioner | 826 Ky Hwy 11 N, Booneville, KY 41314 | 2014-08-18 |
| 1477982650 | B & H Apothecary LLC | Pharmacy | 99 Ky 11 South, Booneville, KY 41314 | 2013-11-07 |
| 1497038988 | Matthew Carrico | Pharmacist | 478 Hwy 11 North, Booneville, KY 41314 | 2011-09-21 |
| 1528298643 | Complete Care Pharmacy of Booneville | Pharmacy | 737 Mulberry Street, Booneville, KY 41314 | 2009-07-23 |
| 1053557660 | Booneville Family Dentistry | Dentist | 706 North Courthouse Square, Booneville, KY 41314 | 2009-01-02 |
| 1063610665 | Kentucky River District Health Department | Public Health or Welfare | Highway 28 Shepherds Lane, Booneville, KY 41314 | 2007-07-05 |
| 1366645640 | Kentucky River District Health Department | Public Health or Welfare | Ky Hwy 28, Booneville, KY 41314 | 2007-06-06 |
| 1770790941 | Eddie Duff | Pharmacist | Hwy 11 North, Booneville, KY 41314 | 2007-05-17 |
| Find all providers in zip 41314 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530904 | Tina Dulsena Turner | Nurse Practitioner | 90 Belcher Turner Rd, Booneville, KY 41314-9563 | 2020-08-31 |
| 1245738244 | Jason Lloyd Martin | Nurse Practitioner | 100 Hospital St Ste 100, Booneville, MS 38829-3354 | 2018-01-25 |
| 1710386503 | Jessica Neace | Nurse Practitioner | 826 Ky Hwy 11 N, Booneville, KY 41314 | 2014-08-18 |
| 1275943086 | Desiree Brooke Haugh | Nurse Practitioner | 103 Ridgemont Villa, Booneville, MS 38829-1010 | 2014-05-01 |
| 1487909792 | Suzy Elaine Shortt Tucker | Nurse Practitioner | 826 Ky Highway 11 North, Booneville, KY 41314-0730 | 2012-07-24 |
| 1770885121 | Lisa Michelle Sanford | Nurse Practitioner | 618 County Road 5031, Booneville, MS 38829-9410 | 2010-11-17 |
| 1164619144 | Lydia Jackson Lovell | Nurse Practitioner | 2301 E Chambers Dr, Booneville, MS 38829-8903 | 2007-10-03 |
| 1881783447 | Amy Suzanne Benjamin | Nurse Practitioner | 618 Cr 5031, Booneville, MS 38829 | 2006-10-12 |
| 1518959584 | Felesha Dale Perrigo | Nurse Practitioner | 101 Mimosa St, Booneville, MS 38829-2911 | 2005-08-16 |
| 1508401852 | Alana Jean Noel | Nurse Practitioner | 1069 S Sharpe Ave, Booneville, AR 72927-4683 | 2019-11-11 |
| Find all providers in BOONEVILLE | ||||
| City | BOONEVILLE |
| Zip Code | 41314 |
Please comment or provide details below to improve the information on DARLENE WILSON.
| 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.