MS. DARLENE DELORES WILSON FNPBC NPI 1114089778

NPI Information

NPI: 1114089778
Provider Name: MS. DARLENE DELORES WILSON, FNP,BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
SIGNIFY HEALTH LLC
SUITE 400
DALLAS, TX
ZIP 75244
Phone: (972) 715-3800
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MS. Darlene Delores Wilson, FNP,BC is a family nurse practitioner in Dallas, TX. MS. Darlene Delores Wilson, FNP,BC NPI is 1114089778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

SIGNIFY HEALTH LLC
SUITE 400
DALLAS, TX
ZIP 75244-071
Phone: (972) 715-3800
Fax: (855) 984-5121

The NPI 1114089778 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 11/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5006211	NORTH CAROLINA	Yes
2	363LF0000X	Nurse Practitioner	Family	F334434-1	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02624055	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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