1. Home
  2. Directory
  3. Missouri
  4. Jefferson City
  5. General Practice
  6. NPI Profile

WANDA GAYLE WILSON DO
NPI 1033182118
General Practice in Jefferson City, MO

Active since February 09, 2006
3559 AMAZONAS ST, JEFFERSON CITY, MO 65109(573) 893-7848(573) 893-1984 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanda Gayle Wilson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA GAYLE WILSON DO (NPI 1033182118) is an individual general practice provider in Jefferson City, Missouri, licensed in Missouri (R8779) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1033182118
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameWANDA GAYLE WILSONCredential: DO
Location Address3559 AMAZONAS STJefferson City, MO 65109
Mailing Address3559 Amazonas St, Health Branch WestJefferson City, MO 65109 · (573) 893-7848 · Fax (573) 893-1984
Phone(573) 893-7848
Fax(573) 893-1984
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJune 30, 2009
✔ NPI 1033182118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · R8779
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3559 AMAZONAS ST, Jefferson City, MO 65109
Open in Google Maps ↗

Other Names 1

Former Name (1)Wanda Vlahovich

Other Identifiers 9

Other251463Healthlink
Medicaid241488329MO
OtherD41738Mercy
Medicare UPIND41738
Other829180First Health
Other9183317004Cigna
Other185418Bcbs
OtherP00200365Rr Medicare
Medicare ID-Type Unspecified909252084MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Wilson's NPI number?

The NPI number for Wanda Wilson is 1033182118. It was assigned to this individual provider in the NPPES registry on February 9, 2006. The provider is also known as Wanda Vlahovich.

Where is Wanda Wilson located?

Wanda Wilson practices at 3559 Amazonas St, Jefferson City, MO 65109. The listed phone number is (573) 893-7848.

What is Wanda Wilson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wanda Wilson was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.