Individual provider · Type 1 NPI

Shanice Wilson

Family Nurse Practitioner · Chesapeake, VA

NPI number 1174490981 Active

Practice location

661 Independence Pkwy Ste 120
Chesapeake, VA 23320-5114

Fax (757) 547-0145

Mailing address

P.o. Box 381468
Germantown, TN 38183-1468

Other practice locations

  • 5701 Cleveland St Ste 100, Virginia Beach, VA 23462-1788 · (757) 547-0798

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024195311 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1174490981

Shanice Wilson's National Provider Identifier is 1174490981, issued on Oct 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chesapeake, VA. The record was last updated on Oct 9, 2026.