Individual provider · Type 1 NPI

Shenelle Wilson

Urology Physician · Kingsport, TN

NPI number 1215283775 Active

Practice location

2204 Pavilion Dr Ste 310
Kingsport, TN 37660-4653

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 · (423) 431-6111
  • 2119 E South Blvd Ste 200, Montgomery, AL 36116-2496 · (334) 747-7070
  • 1 Medical Park Blvd, Bristol, TN 37620-7430 · (423) 844-1121
  • 1301 Shiloh Rd NW Ste 660, Kennesaw, GA 30144-7158 · (404) 913-2891

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X85818 (GA)
Urology Physician 208800000X36843 (AL)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4 other providers at this address

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About NPI 1215283775

Shenelle Wilson's National Provider Identifier is 1215283775, issued on Aug 1, 2012. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Kingsport, TN. The record was last updated on Feb 6, 2026.