LISA RUTH WILSON AGNP
NPI 1710307889
Nurse Practitioner - Adult Health in Washington, MO

Q: What is Lisa Wilson's NPI number?

The NPI number for Lisa Wilson is 1710307889. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Q: What is Lisa Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wilson was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 16, 2014

324 W 5TH ST, WASHINGTON, MO 63090(636) 795-0342 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Ruth Wilson Agnp NPPES

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

LISA RUTH WILSON AGNP (NPI 1710307889) is an individual adult health provider in Washington, Missouri, licensed in Missouri (2014010130) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1710307889

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLISA RUTH WILSONCredential: AGNP

Location Address324 W 5TH STWashington, MO 63090-2306

Mailing Address24776 State Highway EeWarrenton, MO 63383-5883 · (636) 795-0342

Phone(636) 795-0342

Sole ProprietorNo

Enumeration DateApril 16, 2014

✔ NPI 1710307889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · 2014010130

324 W 5TH ST, Washington, MO 63090

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Other Providers at the Same Location NPPES 4

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

JACQUELYN N BALL PT

Physical Therapist

324 W 5TH ST
WASHINGTON, MO 63090

Franklin County (636) 239-7848

KRISTEN MCFETRIDGE

Speech-Language Pathologist

324 W 5TH ST
WASHINGTON, MO 63090

Franklin County (636) 239-7848

MRS. KERRI ANNE WALLACE MPT

Physical Therapist

324 W 5TH ST
WASHINGTON, MO 63090

Franklin County (636) 239-7848

WASHINGTON N & R, LLC

Skilled Nursing Facility

324 W 5TH ST
WASHINGTON, MO 63090

Franklin County (636) 239-7848

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 Lisa Wilson's NPI number?

The NPI number for Lisa Wilson is 1710307889. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Lisa Wilson located?

Lisa Wilson practices at 324 W 5th St, Washington, MO 63090. The listed phone number is (636) 795-0342.

What is Lisa Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Lisa Wilson was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.