Nancy G Wilson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

420174 Issued in TX

Practice address

18601 Lyndon B Johnson Fwy Ste 315
Mesquite, TX 75150-5612

Phone

(972) 686-1795

Fax

(972) 686-1798

NPI assigned

Oct 10, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1497843338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LYNDON B JOHNSON FWY STE 315",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505612",
            "telephone_number": "972-686-1795",
            "fax_number": "972-686-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 LYNDON B JOHNSON FWY STE 315",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505612",
            "telephone_number": "972-686-1795",
            "fax_number": "972-686-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NANCY",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "420174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "420174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D. Williams, L.P.C.
• Jace Williamson, DDS
• Daniel J Willis, PT, DPT
• Willowbend Nursing and Rehabilitation LP
• Krystal Wilson I
• Windsor Institute of Sports Medicine and Weight Management
• Windstar Residential Care LLC
• Dana A Wingate, D.O.
• Leeann Winkler, R.D.H.
• Winners Wellness Services Inc

• Family Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.