Nancy Wilson, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

200558 Issued in NC

Practice address

510 Balsam Rd Ste 300
Hendersonville, NC 28792-5703

Phone

(828) 693-4431

Fax

(828) 693-4431

NPI assigned

Jun 1, 2006

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Extended Care Physicians - Metrolina PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Asheville, NC
  • NPI 1134393531
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1346287943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890291",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BALSAM RD STE 300",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925703",
            "telephone_number": "828-693-4431",
            "fax_number": "828-693-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NANCY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "200558",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "200558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003759",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Tucker Williford
• Willow Medical Group LLC
• Willow Springs Assisted Living #2 Inc
• Shawn L Willson, MD
• John Wesley Wilson
• Tony Wilson
• Winder Medical Group LLC
• Joshua Zachariah Allen Wise
• Nancy Ann Witcher, RN, CPNP
• WNC Longterm Healthcare, PLLC

• Adult Health Nurse Practitioner in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.