Wilson, Megan Loree

Wilson, Megan Loree is an individual health care provider with primary practice located at 3600 S National Ave , Springfield MO 65807-7311. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wilson, Megan Loree can be contacted via phone (417) 322-6622.

Contact Information

Primary practice address
3600 S National Ave Springfield MO 65807-7311
Phone: (417) 322-6622
Fax: (417) 350-1935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2017038466 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2024012501 Missouri

Profile Details

NPI number 1891206207
LBN Legal business name Wilson, Megan Loree
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2017
Last updated Sep 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891206207 NPPES
Missouri MEDICAID 420140042

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