Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHENELLE WILSON
Active Sole ProprietorSHENELLE WILSON is a Urology healthcare provider located in KINGSPORT, Tennessee. NPI 1215283775 is currently active in the NPPES registry. Verify at CMS.
Urology · KINGSPORT, TN
Registration Details
- NPI Number
- 1215283775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2012 (14.061813477293 yrs)
- Last Updated
- Feb 6, 2026
- Licenses
-
85818 (GA)36843 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2204 PAVILION DR STE 310KINGSPORT, TN, 376604653Browse TN providers · Browse ZIP 37660
- Phone
- 4232464155
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| JIM R LITTLEJOHN | MD | 1225036841 |
| C MACK PATTON | M.D. | 1134127756 |
| HUGH M. SULLIVAN | — | 1396743761 |
| PATRICK RENE SHOWALTER | MD | 1558343830 |
| GRANT D TAYLOR | MD | 1427013044 |
| DR. CHARLES E PAYNE | MD | 1447208913 |
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.