location
search-icon
person
Dorthia D Wilson, NP
Primary Care Nurse Practitioner in Peoria, Illinois
NPI 1669838496

Dorthia D Wilson is a Primary Care Nurse Practitioner based in Peoria, IL and is specialized in Primary Care. Dorthia D Wilson practices in Peoria, IL and has the professional credentials of NP. The NPI Number for Dorthia D Wilson is 1669838496 and holds a License No. 6647 (Illinois).

The current practice location address for Dorthia D Wilson is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-8820 and via fax at 309-624-8820.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669838496
Provider Name
Dorthia D Wilson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-624-8820
Fax Number
309-624-8820
Provider Enumeration Date
01/09/2016
Last Update Date
01/18/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100054093 05 WI
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-8820
Fax Number
309-624-8820
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-8820
Fax Number
309-624-8820
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209030955 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
6647 (Wisconsin)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.