DONNA C. WILSON


Address: 510 Highway 32, Lebanon, MO 65536-5303
Phone: 4172692278

DONNA C. WILSON (NPI# 1164523403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164523403
Entity Type Individual
Full Name DONNA C. WILSON
Other Name DONNA C. GASS
Credential FNP
Practice Address 510 Highway 32
Lebanon
MO 65536-5303
Mailing Address Po Box 4046
Springfield
MO 65808-4046
Practice Telephone 4172692278
Practice Fax Number 4172692274
Mailing Telephone 4172695712
Mailing Fax Number 4172697567
Enumeration Date 2006-09-26
Last Update Date 2019-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
076398 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 428372809 05
BLUE CROSS OF MO 190892 01

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1487907358 Donna Wilson Counselor 7901 - 4th St. N., #327, St. Pete, FL 33702 2012-10-17
1598073967 Donna E Wilson Social Worker 2122 Hidden Mdw, New Braunfels, TX 78130-4863 2010-09-20
1740309582 Donna Wilson Internal Medicine 518 Sea Isle Blvd Ste A, Ocean View, NJ 08230-1039 2007-03-29
1679610026 Donna Wilson Licensed Practical Nurse 45741 Grace Lake Rd, Sandstone, MN 55072-3203 2007-02-01
1538138854 Donna Lynn Wilson Licensed Practical Nurse 5650 N 97th St, Milwaukee, WI 53225-2502 2006-03-17
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Office Location

Street Address 510 HIGHWAY 32
City LEBANON
State MO
Zip Code 65536-5303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952306110 Brian R Knopf Family Medicine 510 Highway 32, Lebanon, MO 65536-5303 2005-06-15
1881240844 Regional Services Family Medicine 510 Highway 32, Lebanon, MO 65536-5303 2019-08-15
1326213232 Lester E Cox Medical Centers Family Medicine 510 Highway 32, Lebanon, MO 65536-5303 2008-04-23
1477696821 Mary A Kurek Family Medicine 510 Highway 32, Lebanon, MO 65536-5303 2007-02-15
1912043316 Emily H Mebruer Family Medicine 510 Highway 32, Lebanon, MO 65536-5303 2007-01-30
1346316304 Lester E Cox Medical Centers Clinic/Center 510 Highway 32, Lebanon, MO 65536-5303 2006-11-28
1215007844 Regional Services Clinic/Center 510 Highway 32, Lebanon, MO 65536-5303 2006-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427537307 Cathy Jane Greenlee Nurse Practitioner 510 Hwy 32, Lebanon, MO 65536 2018-08-10
1396232831 Steven Michael Majdecki Counselor 860 Lynn St., Lebanon, MO 65536 2018-04-19
1447629399 Danielle Craig Speech-Language Pathologist 1200 Clark Ave, Lebanon, MO 65536 2015-09-22
1982080255 Dawn Barker Family Medicine 331 Hospital Dr Ste C, Lebanon, MO 65536 2015-08-10
1194163840 Laura Patton Speech-Language Pathologist 22864 Perimeter Drive, Lebanon, MO 65536 2013-06-04
1750588273 Elaine Britzman Registered Nurse 874 S Jefferson St, Lebanon, MO 65536 2007-06-28
1538363486 Laclede Co. Assoc. for Retarded Citizens Respite Care 200 Lawson Ave., Lebanon, MO 65536 2007-06-13
1568665768 Fern M Klein Registered Nurse 874 S Jefferson, Lebanon, MO 65536 2007-06-06
1639201080 Laclede County Assoc. for Retarded Citizens Day Training, Developmentally Disabled Services 200 Lawson Avenue, Lebanon, MO 65536 2007-03-12
1316078868 Michael Montgomery Od PC Optometrist 279 E Elm, Lebanon, MO 65536 2007-03-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053912170 Kaley Elizabeth Barrett Nurse Practitioner 418 Edgewood Dr, Lebanon, PA 17042-9109 2020-11-04
1932716420 Jessica Erb Nurse Practitioner 804 Holly Ln, Lebanon, PA 17042-9028 2020-09-28
1922619527 Tammy Lynn Whitt Nurse Practitioner 961 Poor Farm Rd, Lebanon, VA 24266-7097 2020-08-17
1538777529 Shenia Diane Johnson Nurse Practitioner 71 S. Flannagan Ave., Lebanon, VA 24266-2426 2020-07-16
1275158164 Kelly Mcdaniel Nurse Practitioner 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 2020-06-16
1609498955 Kelsey Jones Nurse Practitioner 1412 Nathaniel Dr, Lebanon, MO 65536-8906 2020-05-09
1124657887 Shelly Prather Nurse Practitioner 350 Wheeler St, Lebanon, OR 97355-4349 2020-04-05
1205479458 Natasha Denney Arentz Nurse Practitioner 5787 Oh-63, Lebanon, OH 45036 2019-10-21
1720638661 Advanced Practice Primary Care, Pllc Nurse Practitioner 2336 Coal Tipple Hollow, Lebanon, VA 24266 2019-09-12
1821642430 Jill Montgomery Major Nurse Practitioner 135 Knights Brg, Lebanon, TN 37090-1410 2019-07-31
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Competitor

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City LEBANON
Zip Code 65536

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Dataset Information

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.

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