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Mrs. Johnnie S Wilson
Family Nurse Practitioner in Newton, Texas
NPI 1275509580

Johnnie S Wilson is a Family Nurse Practitioner based in Beaumont, TX and is specialized in Family. Johnnie S Wilson practices in Newton, TX. The NPI Number for Johnnie S Wilson is 1275509580 and holds a License No. 535111 (Texas).

The current practice location address for Johnnie S Wilson is 207 E Court St, Newton, TX and can be reached out via phone at 409-379-2647 and via fax at 409-379-2349.

Location: 207 E Court St, Newton, TX, 77701-4612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275509580
Provider Name
Johnnie S Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
207 E Court St, Newton, TX, 77701-4612
Phone Number
409-379-2647
Fax Number
409-379-2349
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
535111 01 TX RN LICENSE
institution
Provider Business Practice Location Address Details
Address
207 E Court St
City
Newton
State
Texas
Zip
75966-3203
Phone Number
409-379-2647
Fax Number
409-379-2349
person
Provider Business Mailing Address Details
Address
207 E Court St
City
Newton
State
Texas
Zip
75966-3203
Phone Number
409-379-2647
Fax Number
409-379-2349
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
535111 (Texas)
Definition
Definition to come...
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