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Individual

JONNE L WILMORE

Active
Find providers by NPI
Individual

JONNE L WILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C, CPNP-AC

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
C177426
IA
363LF0000X
Family Nurse Practitioner
780307
TX
363LF0000X
Family Nurse Practitioner
AP125107
TX
363LN0000X
Neonatal Nurse Practitioner
38321
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
38321
TN
363LP0200X
Pediatric Nurse Practitioner
AP125107
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
C177426
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333201707
—
TX
01
—
333201708
MEDICAID-CSHCN
TX
01
—
8KL972
BCBS
TX
Enumeration date
01/13/2014
Last updated
02/10/2026
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