Individual provider · Type 1 NPI

Jaquiese Wilson

Licensed Practical Nurse · Indianapolis, IN

NPI number 1255139028 Active

Practice location

5070 Matteson Dr
Indianapolis, IN 46235

Call (317) 229-5877 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27081237A (IN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1255139028

Jaquiese Wilson's National Provider Identifier is 1255139028, issued on Mar 6, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 6, 2025.