Individual provider · Type 1 NPI

Raquita Wilson

Licensed Practical Nurse · Little Rock, AR

NPI number 1770130924 Active

Practice location

6425 W 12th St
Little Rock, AR 72204-1509

Call (501) 666-8686 Map

Mailing address

PO Box 251970
Little Rock, AR 72225-1970

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X915732326 (AR)

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 1770130924

Raquita Wilson's National Provider Identifier is 1770130924, issued on Aug 22, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Little Rock, AR. The record was last updated on Aug 22, 2019.