MARY WILSON
NPI 1336689439
Licensed Practical Nurse in Waynesville, MO

Active since March 08, 2017
704 W HISTORIC RT. 66, WAYNESVILLE, MO 65583(573) 774-3121(573) 774-2235 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Wilson NPPES

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

MARY WILSON (NPI 1336689439) is an individual licensed practical nurse in Waynesville, Missouri, licensed in Missouri (2002021037) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1336689439
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY WILSON
Location Address704 W HISTORIC RT. 66Waynesville, MO 65583
Mailing Address704 W Historic Rt. 66Waynesville, MO 65459 · (573) 774-3121 · Fax (573) 774-2235
Fax(573) 774-2235
Sole ProprietorNo
Enumeration DateMarch 8, 2017
NPI 1336689439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MO · 2002021037
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
704 W HISTORIC RT. 66, Waynesville, MO 65583

Other Names 1

Other Name (5)Mary Adams Lpn

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
704 W HISTORIC RT. 66, SUITE 200
WAYNESVILLE, MO 65583

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 Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1336689439. It was assigned to this individual provider in the NPPES registry on March 8, 2017. The provider is also known as Mary Adams Lpn.

Where is Mary Wilson located?

Mary Wilson practices at 704 W Historic Rt. 66, Waynesville, MO 65583. The listed phone number is (573) 774-3121.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.