# JONNE L WILMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558783480
- **Gender:** F
- **Credential:** NP-C, CPNP-AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 38321 | TN | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | AP125107 | TX | — |
| 363LP0222X | Critical Care Pediatric Nurse Practitioner | C177426 | IA | — |

## Other

- **Enumeration date:** 01/13/2014
- **Last updated:** 02/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 333201707 | — | TX |
| 01 | — | 333201708 | MEDICAID-CSHCN | TX |
| 01 | — | 8KL972 | BCBS | TX |