Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANA WILSON, AGNP-C
Active Sole ProprietorMS. SHANA WILSON, AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in PALMYRA, Virginia. NPI 1588532667 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · PALMYRA, VA
Registration Details
- NPI Number
- 1588532667
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2025 (0.76192274962414 yrs)
- Last Updated
- Oct 29, 2025
- License
-
AG09250014 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 ZEPHYR RDPALMYRA, VA, 229632739Browse VA providers · Browse ZIP 22963
- Phone
- 5402444164
- Fax
- 5402444164
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
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.