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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANICE WILSON
NPI 1174490981
Nurse Practitioner - Family in Chesapeake, VA

Active since October 17, 2025
661 INDEPENDENCE PKWY STE 120, CHESAPEAKE, VA 23320(757) 547-0798(757) 547-0145 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shanice Wilson NPPES

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

SHANICE WILSON (NPI 1174490981) is an individual family provider in Chesapeake, Virginia, licensed in Virginia (0024195311) and active in the NPI registry since October 2025. She maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1174490981
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANICE WILSON
Location Address661 INDEPENDENCE PKWY STE 120Chesapeake, VA 23320-5114
Mailing AddressPo Box 381468Germantown, TN 38183-1468 · Fax (901) 328-1355
Phone(757) 547-0798
Fax(757) 547-0145
Sole ProprietorNo
Enumeration DateOctober 17, 2025
Last NPPES UpdateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1174490981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024195311
661 INDEPENDENCE PKWY STE 120, Chesapeake, VA 23320
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Secondary Practice Location 1

Location 15701 Cleveland St Ste 100Virginia Beach, VA 23462-1788 · Phone (757) 547-0798 · Fax (757) 547-0145

Other Providers at the Same Location NPPES 11

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

FELIX P TIONGCO M.D.
Internal Medicine (Gastroenterology)
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798
LINDA ELLEN FERRO CRNA
Nurse Anesthetist, Certified Registered
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798
MR. JASON KINCAID THOMAS CRNA
Nurse Anesthetist, Certified Registered
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798
DR. RENE RIVERA MD
Internal Medicine (Gastroenterology)
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798
WALID FUAD MAKDISI M.D.
Internal Medicine (Gastroenterology)
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798
BRANDI ALFORD CRNA
Nurse Anesthetist, Certified Registered
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798
CHANTEL DERISE DIXON FNP
Nurse Practitioner (Family)
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798
ALEXIS LYNN GURECKI PA-C
Physician Assistant
661 INDEPENDENCE PKWY STE 120
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798

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 Shanice Wilson's NPI number?

The NPI number for Shanice Wilson is 1174490981. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Where is Shanice Wilson located?

Shanice Wilson practices at 661 Independence Pkwy Ste 120, Chesapeake, VA 23320. The listed phone number is (757) 547-0798.

What is Shanice Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shanice Wilson was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.