Individual provider · Type 1 NPI

Sheresa Wilson, PA-C, LMHCA

Physician Assistant · Fort Wayne, IN

NPI number 1114001237 Active

Practice location

2710 Lake Ave
Fort Wayne, IN 46805-5412

Call (260) 481-2700 Map

Fax (260) 969-8448

Mailing address

16311 Page Rd
Grabill, IN 46741-9612

Other practice locations

  • 1720 Beacon St, Fort Wayne, IN 46805-4749 · (260) 373-8000
  • 419 Airport North Office Park, Fort Wayne, IN 46825-6704 · (260) 267-5185
  • 370 E Chicago St Ste 200, Coldwater, MI 49036-2062 · (517) 279-5378

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10000892A (IN)
Mental Health Counselor 101YM0800X88001982A (IN)
Physician Assistant 363A00000X5601005190 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

4 other providers at this address

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About NPI 1114001237

Sheresa Wilson, PA-C, LMHCA's National Provider Identifier is 1114001237, issued on Oct 25, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 13, 2026.