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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COREEN WILSON

Active Sole Proprietor

COREEN WILSON is a Transportation Broker healthcare provider located in SHREVEPORT, Louisiana. NPI 1114502093 is currently active in the NPPES registry. Verify at CMS.

Transportation Broker · SHREVEPORT, LA

Registration Details

NPI Number
1114502093
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2021 (5.4455886943703 yrs)
Last Updated
Mar 12, 2021
Sole Proprietor
Yes

Practice Information

Address
4401 WILDWOOD DR
SHREVEPORT, LA, 711198611
Browse LA providers · Browse ZIP 71119
Phone
3182105187
Primary Specialty
Transportation Broker
347E00000X

Other Transportation Broker Providers in SHREVEPORT, LA

Name Credential NPI
NIESHA STRICKLIN 1194342220
JAKITHA ANTIONETTE BURRELL-LOTT 1619635497
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.