Charmaine Johnson Wilson
Nurse Practitioner - Family Medicine
6029 Belt Line Rd Ste 105
Dallas
, Texas 75254-7873
Charmaine Johnson Wilson
Nurse Practitioner - Family Medicine
6029 Belt Line Rd Ste 105
Dallas
, Texas 75254-7873
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Charmaine Johnson Wilson
- 3050 Painted Lake Cir Apt 202
- The Colony, TX
- Zip : 75056-4788
- Phone :
Second Address
- Charmaine Johnson Wilson
- 6029 Belt Line Rd Ste 105
- Dallas, TX
- Zip : 75254-7873
- Fax : (972) 385-1231
- Phone : (972) 385-0000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP134297 | TX |
National Provider Identifier
| NPI | 1003337205 |
|---|---|
| Provider Name | Charmaine Johnson Wilson |
| First Address | The Colony, TX 75056-4788 |
| Second Address | Dallas, TX 75254-7873 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2017 |
| Last Update Date | 28/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.