SHIRLEY CRAWFORD WILSON
NPI 1093912404
Home Health Aide in Jacksonville, FL

Active since June 29, 2007
5105 BENNING RD, JACKSONVILLE, FL 32254(904) 487-3949(904) 580-5805 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shirley Crawford Wilson NPPES

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

SHIRLEY CRAWFORD WILSON (NPI 1093912404) is an individual home health aide in Jacksonville, Florida, licensed in Florida (238327) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1093912404
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameSHIRLEY CRAWFORD WILSON
Location Address5105 BENNING RDJacksonville, FL 32254-3610
Mailing Address5105 Benning RdJacksonville, FL 32254-3610 · (904) 487-3949 · Fax (904) 580-5805
Fax(904) 580-5805
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 18, 2022
NPI 1093912404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License Licensed in FL · 238327
Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

5105 BENNING RD, Jacksonville, FL 32254

Other Identifiers 1

Medicaid024749500FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health Aide
5105 BENNING RD
JACKSONVILLE, FL 32254

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 Shirley Wilson's NPI number?

The NPI number for Shirley Wilson is 1093912404. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Shirley Wilson located?

Shirley Wilson practices at 5105 Benning Rd, Jacksonville, FL 32254. The listed phone number is (904) 487-3949.

What is Shirley Wilson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Shirley Wilson was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.