Doctor profile · Federal record
Dr. Juanita Wilson, ANP
Contractor · Saint Louis, MO
- NPI 1275818163
- 15 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11155 Dunn RD
Saint Louis, MO 631366150
(314) 741-1400 - Mailing address
-
5864 Enright Ave
Saint Louis, MO 631122302
Credentials & registration
- NPI registered
- October 2011 — 15 yrs on file
- Specialty taxonomy
- 171W00000X — NUCC code
- State license (1)
- Missouri #2010016002
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275818163. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$79
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka Pharmaceutical Development & Commercialization, INC. | 1 | $79.04 |
By nature of payment
Frequently asked questions
What is Dr. Juanita Wilson's medical specialty?
Dr. Juanita Wilson practices Contractor in Saint Louis, MO.
Where does Dr. Juanita Wilson practice?
Dr. Juanita Wilson practices at 11155 Dunn RD, Saint Louis, MO 631366150. Office phone: 3147411400.
What is Dr. Juanita Wilson's NPI?
Dr. Juanita Wilson's National Provider Identifier (NPI) is 1275818163, issued by NPPES.