MRS. BETTY J WILSON (NPI# 1972773075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972773075 |
Entity Type | Individual |
Full Name | MRS. BETTY J WILSON |
Other Name | BETTY J WOLFENBARGER |
Credential | FNP |
Practice Address |
2927 Highway 66 S Rogersville TN 37857-5169 |
Mailing Address |
Po Box 850 Rogersville TN 37857-0850 |
Practice Telephone | 4232726969 |
Mailing Telephone | 4232726969 |
Mailing Fax Number | 4239216920 |
Enumeration Date | 2008-03-04 |
Last Update Date | 2009-12-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000005031 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 33416361 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386909711 | Betty Wilson | Specialist | 185 Hall St Apt 103, 185 Hall Street #103, Brooklyn, NY 11205-5032 | 2012-07-11 |
1780296988 | Betty Ann Wilson | Behavior Technician | 51145 Nicolette Dr, Chesterfield, MI 48047-4585 | 2020-08-19 |
1417580481 | Betty Jean Wilson | Counselor | 2447 Nebraska Ave, Toledo, OH 43607-3531 | 2020-02-19 |
1821331984 | Betty Marie Wilson | Nurse Practitioner | 221 N Main St, Paris, MO 65275-1328 | 2013-03-27 |
1063687549 | Betty Jean Wilson | Case Manager/Care Coordinator | 601 W Michigan St, Orlando, FL 32805-6203 | 2008-04-25 |
Street Address |
2927 HIGHWAY 66 S |
City | ROGERSVILLE |
State | TN |
Zip Code | 37857-5169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811422348 | Marissa Yvonne Mckie | Specialist/Technologist | 2927 Highway 66 S, Rogersville, TN 37857-5169 | 2017-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942766852 | Alaina M Kuebler | Occupational Therapist | 109 Tn-70, Rogersville, TN 37857 | 2019-02-15 |
1366823460 | Crystal L Stiltner | Family Medicine | 405 Scenic Dr Ste B, Rogersville, TN 37857 | 2015-06-15 |
1689867715 | Louis V Salamina | Chiropractor | 952 W. Broadway Suite 100, Rogersville, TN 37857 | 2007-08-22 |
1538224464 | Timothy D. Gunnin, D.d.s., P.C. | Dentist | 110 South Hasson Street, Rogersville, TN 37857 | 2006-12-22 |
1952464232 | Timothy Davis Gunnin | Dentist | 110 South Hasson St, Rogersville, TN 37857 | 2006-12-18 |
1043393358 | Andrew John Morgan | Case Manager/Care Coordinator | 101 Lena Dr., Rogersville, TN 37857 | 2006-10-23 |
1922191428 | Hometown Home Health Care, Inc. | Home Health | 121 Forest Hills Rd., Suite B, Rogersville, TN 37857 | 2006-10-02 |
1689687733 | Randall Paul Weaver | Social Worker | 101 Lena Drive, Hawkins Cn Mental Health Ctr, Rogersville, TN 37857 | 2006-08-13 |
1194754234 | Blue Ridge Medical Management Corporation | Internal Medicine | Health Link of Rogersville, 900 West Main Street, Rogersville, TN 37857 | 2006-07-01 |
1497700629 | James Robertson Price | Pharmacist | 4017 Highway 66 #7, Rogersville, TN 37857 | 2006-05-24 |
Find all providers in zip 37857 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801367438 | Regional Services | Nurse Practitioner | 512 Sentry Dr, Rogersville, MO 65742-6528 | 2018-12-07 |
1649746041 | Judy K Martin | Nurse Practitioner | 225 High Rock Rd, Rogersville, TN 37857-4165 | 2018-10-23 |
1396285995 | Amy Nicole Lipe | Nurse Practitioner | 600 Skyview Dr, Rogersville, TN 37857-6216 | 2017-03-01 |
1912374257 | Heather Campbell Mills | Nurse Practitioner | 482 Park Blvd Ste A, Rogersville, TN 37857-6927 | 2015-08-21 |
1861646218 | Emily Beth Crawford | Nurse Practitioner | 611 Old Highway 70 S, Rogersville, TN 37857-5401 | 2008-11-12 |
1689207938 | Keshia Beth Luster | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2020-02-14 |
1477100113 | Brooke Leanna Carver | Nurse Practitioner | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2019-08-19 |
1487128708 | Kristen Dykes | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2019-01-21 |
1346711082 | Tommy Virgil Mccluskey | Nurse Practitioner | 16023 Highway 72, Rogersville, AL 35652-8141 | 2018-12-06 |
1932681236 | Camellia Bell Williams | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857 | 2018-09-04 |
Find all providers in ROGERSVILLE |
City | ROGERSVILLE |
Zip Code | 37857 |
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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.