SALLY WILSON FNP
NPI 1255673893
Nurse Practitioner - Family in Culver City, CA

Q: What is Sally Wilson's NPI number?

The NPI number for Sally Wilson is 1255673893. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Q: What is Sally Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sally Wilson was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 21, 2013

4456 DAWES AVE, CULVER CITY, CA 90230(310) 319-4503 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sally Wilson Fnp NPPES

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

SALLY WILSON FNP (NPI 1255673893) is an individual family provider in Culver City, California, licensed in California (13414) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1255673893

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSALLY WILSONCredential: FNP

Location Address4456 DAWES AVECulver City, CA 90230

Mailing Address4456 Dawes AveCulver City, CA 90230-5124 · (310) 319-4503

Phone(310) 319-4503

Sole ProprietorYes

Enumeration DateMarch 21, 2013

✔ NPI 1255673893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 13414

Also ListedRegistered Nurse · Women's Health Care, AmbulatoryTaxonomy 163WW0101X · License 514467 (CA)

4456 DAWES AVE, Culver City, CA 90230

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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 Sally Wilson's NPI number?

The NPI number for Sally Wilson is 1255673893. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Sally Wilson located?

Sally Wilson practices at 4456 Dawes Ave, Culver City, CA 90230. The listed phone number is (310) 319-4503.

What is Sally 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 Sally Wilson was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.