Ivory Wilson
Licensed Practical Nurse in Indian Orchard, Massachusetts
1720847130- Practice location
- 200 Fiberloid St, Indian Orchard, MA 01151-1006
- Phone
- 413-381-6644
- Fax
- —
- Last updated
- March 18, 2024
Ivory Wilson is a Licensed Practical Nurse based in Indian Orchard, MA. Ivory Wilson practices in Indian Orchard, MA. The NPI Number for Ivory Wilson is 1720847130 and holds a License No. LN96517 (MA). The current practice location address for Ivory Wilson is 200 Fiberloid St, Indian Orchard, MA 01151-1006 and can be reached out via phone at 413-381-6644.
Provider Profile Details
- NPI Number
- 1720847130
- Provider Name
- Ivory Wilson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Fiberloid St, Indian Orchard, MA 01151-1006
- Phone Number
- 413-381-6644
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 18, 2024
- Last Update Date
- March 18, 2024
- Certification Date
- March 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Fiberloid St
Indian Orchard, MA 01151-1006 - City
- Indian Orchard
- State
- Massachusetts
- Zip
- 01151-1006
- Phone Number
- 413-381-6644
Provider Business Mailing Address Details
- Address
- 200 Fiberloid St
Indian Orchard, MA 01151-1006 - City
- Indian Orchard
- State
- MA
- Zip
- 01151-1006
License Information
- License Number
- LN96517
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Licensed Practical Nurses near Indian Orchard, MA
View all Licensed Practical Nurses in Indian Orchard →- Raabiyah LegreeLicensed Practical Nurse · NPI 1184424574
- Amiya L PhillipsSocial Worker · NPI 1861300576
- Jacqueline M Dupont, MED, LMHC, LSACCounselor, Mental Health · NPI 1033254495
- Viva Mind Therapy Group PLLCSocial Worker, Clinical · NPI 1942125885
- Respiro Azul LLCCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1679458376
- Tracy L HillCounselor, Mental Health · NPI 1457288193
Frequently Asked Questions
What is the NPI number of Ivory Wilson?
The NPI number of Ivory Wilson is 1720847130. It was assigned on March 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Ivory Wilson?
Ivory Wilson is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN96517.
Where does Ivory Wilson practice?
The practice location is 200 Fiberloid St, Indian Orchard, MA 01151-1006. The office can be reached at 413-381-6644 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720847130 directly on the NPPES registry website.