STACY MARIE WILSON LPN
NPI 1194276584
Licensed Practical Nurse in Gloversville, NY

Active since October 20, 2016
127 EAST STATE STREET, GLOVERSVILLE, NY 12078(518) 775-5354 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Marie Wilson Lpn NPPES

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

STACY MARIE WILSON LPN (NPI 1194276584) is an individual licensed practical nurse in Gloversville, New York, licensed in New York (316128-1) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1194276584
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACY MARIE WILSONCredential: LPN
Location Address127 EAST STATE STREETGloversville, NY 12078-1204
Mailing Address511 North Green RdFultonville, NY 12072 · (518) 775-0958
Sole ProprietorYes
Enumeration DateOctober 20, 2016
NPI 1194276584 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 · 316128-1
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.
127 EAST STATE STREET, Gloversville, NY 12078

Other Providers at the Same Location NPPES 2

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

Case Management
127 EAST STATE STREET
GLOVERSVILLE, NY 12078
Physical Therapist
127 EAST STATE STREET
GLOVERSVILLE, NY 12078

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 Stacy Wilson's NPI number?

The NPI number for Stacy Wilson is 1194276584. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Stacy Wilson located?

Stacy Wilson practices at 127 East State Street, Gloversville, NY 12078. The listed phone number is (518) 775-5354.

What is Stacy 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 Stacy Wilson was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.