DESTINY WILSON APRN NPI 1265976039

NPI Information

  • NPI: 1265976039
  • Provider Name: DESTINY WILSON, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 N MARKET ST
    SPARTA, IL
    ZIP 62286
  • Phone: (618) 443-1337

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NPI Details

Destiny Wilson, APRN is an adult health nurse practitioner in Sparta, IL with 10 years of experience. Destiny Wilson, APRN NPI is 1265976039. 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:

1300 N MARKET ST
SPARTA, IL
ZIP 62286-048
Phone: (618) 443-1337
Fax: (618) 443-1383

The NPI 1265976039 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 12/13/2016 and was last updated on 6/4/2020.

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
1363LA2200XNurse PractitionerAdult Health209015177ILLINOISYes

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: 11/21/2025

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