Individual provider · Type 1 NPI

Keyonna N. Wilson, HHA/CNA/QMA/LPN/RN

Licensed Practical Nurse · Indianapolis, IN

NPI number 1700762309 Active

Practice location

6030 E 42nd St
Indianapolis, IN 46226-4910

Call (317) 668-6535 Map

Fax (317) 668-6535

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27080699A (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 1700762309

Keyonna N. Wilson, HHA/CNA/QMA/LPN/RN's National Provider Identifier is 1700762309, issued on Aug 12, 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 Aug 12, 2025.