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Gary Mark Wilson, NP
Nurse Practitioner in Kennett, Missouri
NPI 1962844522

Gary Mark Wilson is a Nurse Practitioner based in Daytona Beach, MO. Gary Mark Wilson practices in Kennett, MO and has the professional credentials of NP. The NPI Number for Gary Mark Wilson is 1962844522 and holds a License No. 2013026042 (Missouri).

The current practice location address for Gary Mark Wilson is 1301 1St St, Kennett, MO and can be reached out via phone at 573-888-8400 and via fax at 573-888-6688. You can also correspond with Gary Mark Wilson through the mailing address at PO BOX 10800, DAYTONA BEACH, FL - 32120-0800 (mailing address contact number: 386-274-7800).

Location: 1301 1St St, Kennett, MO, 32120-0800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962844522
Provider Name
Gary Mark Wilson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1301 1St St, Kennett, MO, 32120-0800
Phone Number
573-888-8400
Fax Number
573-888-6688
Provider Enumeration Date
07/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1301 1St St
City
Kennett
State
Missouri
Zip
63857-2525
Phone Number
573-888-8400
Fax Number
573-888-6688
person
Provider Business Mailing Address Details
Address
Po Box 10800
City
Daytona Beach
State
Florida
Zip
32120-0800
Phone Number
386-274-7800
Fax Number
386-274-7801
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2013026042 (Missouri)
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.
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