Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE WILSON
Active Sole ProprietorNICOLE WILSON is a Home Health healthcare provider located in JASPER, Florida. NPI 1497296123 is currently active in the NPPES registry. Verify at CMS.
Home Health · JASPER, FL
Registration Details
- NPI Number
- 1497296123
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 14, 2017 (9.4146791759269 yrs)
- Last Updated
- Mar 14, 2017
- Licenses
-
234515 (FL)234515 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8797 NW 34TH LOOPJASPER, FL, 320526422Browse FL providers · Browse ZIP 32052
- Phone
- 9046999821
- Primary Specialty
-
Home Health
251E00000X
- Additional Specialty
- In Home Supportive Care Agency
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.