Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHAWN WILSON
Active Sole ProprietorMS. SHAWN WILSON is a Contractor healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1598141525 is currently active in the NPPES registry. Verify at CMS.
Contractor · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1598141525
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2015 (11.038487452932 yrs)
- Last Updated
- Jul 31, 2015
- License
-
208211783 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
880 W EDEN CIRFAYETTEVILLE, AR, 727016931Browse AR providers · Browse ZIP 72701
- Phone
- 4794452781
- Primary Specialty
-
Contractor
171W00000X
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.