MR. LEONARD LEON WILSON JR. (NPI# 1306319843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306319843 |
| Entity Type | Individual |
| Full Name | MR. LEONARD LEON WILSON JR. |
| Credential | NP-C |
| Practice Address |
1 Pinckney Blvd Beaufort SC 29902-6122 |
| Mailing Address |
184 Mission Way Beaufort SC 29906-2411 |
| Practice Telephone | 8432285166 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024177090 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407965445 | Leonard C Wilson | Physician Assistant | 2495 Shreveport Hwy Bldg 9, Pineville, LA 71360-4044 | 2006-08-30 |
| 1639550239 | Leonard Wilson | Dentist | 1333 W Harvard Ave, Roseburg, OR 97471-2838 | 2015-06-09 |
| Street Address |
1 PINCKNEY BLVD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352643 | Terry Lynn Elliott | Family Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-08-10 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1023620150 | Duy Thien Vinh Truong | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-08-19 |
| 1366060071 | Christopher Taylor Davis | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-09 |
| 1942828884 | Abraham Kim | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-07 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1629610134 | Alicia Lynn Weaver | Dietitian, Registered | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-16 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1053968784 | John Claiborne Millar | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-19 |
| 1043866049 | Celeste Roberts | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619514437 | April Scott | Nurse Practitioner | 960 Ribaut Rd Ste 1, Beaufort, SC 29902-5453 | 2019-12-01 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1013285170 | Marjorie Sapp | Nurse Practitioner | 694 Paige Dr, Beaufort, SC 29906-9030 | 2011-12-05 |
| 1972797934 | Karen Lee Fawcett | Nurse Practitioner | 182c Sea Island Pkwy, Beaufort, SC 29907-1503 | 2007-09-04 |
| 1316991235 | Christine Milligan Lewis | Nurse Practitioner | 11 Todd Drive, Dba Ltc Health Solutions, Beaufort, SC 29902-6113 | 2006-05-22 |
| 1174509632 | Suzanne Wolf | Nurse Practitioner | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2005-12-16 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1942764592 | Charles Daniel Moore | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-01-29 |
| 1780115428 | Lauren Booth | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2017-03-24 |
| 1568915783 | William Lee Schreffler | Nurse Practitioner | 1251 Ribaut Rd Ste B, Beaufort, SC 29902-6186 | 2016-07-25 |
| Find all providers in BEAUFORT | ||||
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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.