Individual provider · Type 1 NPI

Patrice Lavon Wilson, LPN

Registered Nurse · Macomb, MI

NPI number 1154091692 Active

Practice location

24759 Beach Dr
Macomb, MI 48042-4557

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X4703113331 (MI)
Registered Nurse Primary 163W00000X4704406386 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1154091692

Patrice Lavon Wilson, LPN's National Provider Identifier is 1154091692, issued on Sep 16, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Macomb, MI. The record was last updated on Jul 21, 2026.