Individual provider · Type 1 NPI

Shanika L. Wilson, CNA

Nurse's Aide · Rockford, IL

NPI number 1003749250 Active

Practice location

4749 Wolverton Ln Apt D
Rockford, IL 61109-5549

Mailing address

1519 13th St
Rockford, IL 61104-5424

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNone listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1003749250

Shanika L. Wilson, CNA's National Provider Identifier is 1003749250, issued on Jun 6, 2026. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Rockford, IL. The record was last updated on Jun 6, 2026.