Individual provider · Type 1 NPI

Keneisha Wilson, LPN

Licensed Practical Nurse · Detroit, MI

NPI number 1689547572 Active

Practice location

19949 Fenton St
Detroit, MI 48219-1069

Call (248) 918-5188 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703129149 (MI)

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.

2 other providers at this address

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About NPI 1689547572

Keneisha Wilson, LPN's National Provider Identifier is 1689547572, issued on Sep 26, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 26, 2025.