Shawna Jo Wilson, RDN, LD is a
Dietitian, Registered based in Lewisport, Kentucky. Shawna Jo Wilson is licensed to practice in Kentucky (license number 265609) and her current practice location is
1498 Hilldale Rd, Lewisport, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 922-0890.
NPI number for Shawna Jo Wilson is 1639755721 and her current mailing address is 1498 Hilldale Rd, Lewisport, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639755721.
Healthcare Provider's Profile
Full Name | Shawna Jo Wilson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1498 Hilldale Rd, Lewisport, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639755721
- Provider Enumeration Date: 03/20/2021
- Last Update Date: 03/20/2021
Medical Identifiers
Medical identifiers for Shawna Jo Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639755721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 265609 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shawna Jo Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shawna Jo Wilson, RDN, LD 1498 Hilldale Rd, Lewisport, KY 42351-7036 Ph: (270) 922-0890 | Shawna Jo Wilson, RDN, LD 1498 Hilldale Rd, Lewisport, KY 42351-7036 Ph: (270) 922-0890 |
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