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NICOLE WILSON
NPI 1598214801
Student in an Organized Health Care Education/Training Program in Ipava, IL

Active since September 27, 2016
81 E BROADWAY ST, IPAVA, IL 61441(309) 333-4496 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Wilson NPPES

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

NICOLE WILSON (NPI 1598214801) is an individual student in an organized health care education/training program in Ipava, Illinois and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1598214801
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE WILSON
Location Address81 E BROADWAY STIpava, IL 61441-5236
Mailing Address81 E Broadway StIpava, IL 61441-5236
Phone(309) 333-4496
Sole ProprietorNo
Enumeration DateSeptember 27, 2016
✔ NPI 1598214801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
81 E BROADWAY ST, Ipava, IL 61441
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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 Nicole Wilson's NPI number?

The NPI number for Nicole Wilson is 1598214801. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Nicole Wilson located?

Nicole Wilson practices at 81 E Broadway St, Ipava, IL 61441. The listed phone number is (309) 333-4496.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on September 27, 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.