Individual provider · Type 1 NPI

Sherona Tenisa Wilson

Licensed Practical Nurse · Beachwood, OH

NPI number 1417566340 Active

Practice location

29125 Chagrin Blvd
Beachwood, OH 44122-4622

Mailing address

26151 Lake Shore Blvd Apt 1412
Euclid, OH 44132-1156

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Licensed Practical Nurse Primary 164W00000X184017.MEDS-IV (OH)

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 1417566340

Sherona Tenisa Wilson's National Provider Identifier is 1417566340, issued on Jul 27, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Beachwood, OH. The record was last updated on Mar 22, 2023.