Provider Demographics
NPI:1992936967
Name:WILSON, BARBARA ANN (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:WILSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:STONEBURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:12936 STATE ROUTE 691
Mailing Address - Street 2:
Mailing Address - City:NELSONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45764-9028
Mailing Address - Country:US
Mailing Address - Phone:740-591-0436
Mailing Address - Fax:
Practice Address - Street 1:12936 STATE ROUTE 691
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764
Practice Address - Country:US
Practice Address - Phone:740-591-0436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN316413163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse