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

Gary Mark Wilson, NP

Individual provider Nurse Practitioner · NPI 1962844522

Gary Mark Wilson, NP is a Nurse Practitioner in Jonesboro, Arkansas. Qualified in 2013, 13 years ago. Practices with Red River Health LLC, a 5-clinician group. Licensed in Arkansas and Missouri.

Years since qualifying
13
Licensed in
AR, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4901 E Johnson Ave
Jonesboro, AR 72405-8417
Phone: (870) 936-8000
Fax: (870) 934-3659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A004043 (AR)
Nurse Practitioner Taxonomy 363L00000X · Licence 2013026042 (MO)

Record details

NPI number1962844522
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 24, 2013
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing addressPo Box 1960, Jonesboro, AR 72403-1960

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Red River Health Llc — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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