Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amaese Wilson John

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1538031620

Amaese Wilson John is a Nurse Practitioner in Midland, Texas. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025

Practice location Address checks out

900 N Fm 1788
Midland, TX 79707-2091
Phone: (432) 620-1160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1183404 (TX)

Record details

NPI number1538031620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2025
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address7125 Saguaro Rd, Odessa, TX 79765-2533

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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