MR. DAVID DWAYNE WILSON BSN-RN-BC NPI 1588008940

NPI Information

  • NPI: 1588008940
  • Provider Name: MR. DAVID DWAYNE WILSON, BSN-RN-BC
  • Classification: Registered Nurse - 163WM0705X
  • Specialization: Medical-Surgical
  • Entity Type: Individual
  • Address: 1301 LYNN ST
    HIGHLAND, IL
    ZIP 62249
  • Phone: (618) 604-4088

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NPI Details

MR. David Dwayne Wilson, BSN-RN-BC is a medical-surgical registered nurse in Highland, IL. MR. David Dwayne Wilson, BSN-RN-BC NPI is 1588008940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 LYNN ST
HIGHLAND, IL
ZIP 62249-265
Phone: (618) 604-4088

The enumeration date for this NPI number is 4/28/2013 and was last updated on 4/28/2013.

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
1163WM0705XRegistered NurseMedical-Surgical041383761ILLINOISYes

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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