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

Prema Wilson, AGACNP

Individual provider Nurse Practitioner · NPI 1356092894

Prema Wilson, AGACNP is a Nurse Practitioner in Tyler, Texas. Qualified in 2021, 5 years ago. Practices with North Texas Physician Services, PLLC, a 233-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 593-8441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 E Marshall Ave, Longview, TX 75601-5580 — (903) 315-1488

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1057205 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1057205 (TX)

Record details

NPI number1356092894
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJanuary 17, 2022
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022
Mailing address800 E Dawson St, Tyler, TX 75701-2036

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Texas Physician Services, Pllc — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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