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SHANNON LOTESS WILSON LPN
NPI 1033402268
Licensed Practical Nurse in Jamaica, NY

Active since May 20, 2011
16834 127TH AVE, 6A, JAMAICA, NY 11434(804) 908-3835 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Lotess Wilson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON LOTESS WILSON LPN (NPI 1033402268) is an individual licensed practical nurse in Jamaica, New York, licensed in New York (305227) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1033402268
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANNON LOTESS WILSONCredential: LPN
Location Address16834 127TH AVE, 6AJamaica, NY 11434-3148
Mailing Address168-34 127th Ave, 6aJamaica, NY 11434-3108 · (804) 908-3835
Phone(804) 908-3835
Sole ProprietorYes
Enumeration DateMay 20, 2011
✔ NPI 1033402268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 305227
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
16834 127TH AVE, Jamaica, NY 11434
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Other Identifiers 1

Medicaid6004868123234607060NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Wilson's NPI number?

The NPI number for Shannon Wilson is 1033402268. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Where is Shannon Wilson located?

Shannon Wilson practices at 16834 127th Ave 6A, Jamaica, NY 11434. The listed phone number is (804) 908-3835.

What is Shannon Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shannon Wilson was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.