JAQUIESE WILSON
NPI 1255139028
Licensed Practical Nurse in Indianapolis, IN

Active since March 06, 2025
5070 MATTESON DR, INDIANAPOLIS, IN 46235(317) 229-5877 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaquiese Wilson NPPES

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

JAQUIESE WILSON (NPI 1255139028) is an individual licensed practical nurse in Indianapolis, Indiana, licensed in Indiana (27081237A) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1255139028
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJAQUIESE WILSON
Location Address5070 MATTESON DRIndianapolis, IN 46235
Mailing Address5070 Matteson DrIndianapolis, IN 46235 · (317) 229-5877
Sole ProprietorYes
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 5, 2025
NPI 1255139028 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 IN · 27081237A
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.
5070 MATTESON DR, Indianapolis, IN 46235

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 Jaquiese Wilson's NPI number?

The NPI number for Jaquiese Wilson is 1255139028. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Jaquiese Wilson located?

Jaquiese Wilson practices at 5070 Matteson Dr, Indianapolis, IN 46235. The listed phone number is (317) 229-5877.

What is Jaquiese 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 Jaquiese Wilson was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.