Individual provider · Type 1 NPI
Kisha Wilson
Nurse Practitioner · Raleigh, NC
Practice location
3938 Massey Run
Raleigh, NC 27616-9747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 235291 (NC) |
| Nurse Practitioner Primary | 363L00000X | 5014539 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1730798612
Kisha Wilson's National Provider Identifier is 1730798612, issued on Jul 27, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 2, 2026.