Search › Texas › 183500000X
Joni Wilson
NPI 1942784665 · on the registry since 2018
Practice
- Address
- 1215 North St
Nacogdoches, TX 75961 - Phone
- (936) 569-9884
- Fax
- (936) 569-6848
- Organisation at this address
- Kroger Texas L P
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- LA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas