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

Holly Wilson, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1962707182

Holly Wilson, PHYSICIANASSISTANT is a Surgical Physician Assistant in Columbia, Missouri. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011

Practice location Address checks out

800 Hospital Dr
Columbia, MO 65201-5275
Phone: (573) 814-6000
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0110002870 (VA)

Record details

NPI number1962707182
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 19, 2011
Last updated in NPPESJanuary 19, 2011
Mailing address919 Country Ridge Dr, Jefferson City, MO 65109-5738

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