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KEYONNA N WILSON HHA/CNA/QMA/LPN/RN
NPI 1700762309
Licensed Practical Nurse in Indianapolis, IN

Active since August 12, 2025
6030 E 42ND ST, INDIANAPOLIS, IN 46226(317) 668-6535(317) 668-6535 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keyonna N Wilson Hha/cna/qma/lpn/rn NPPES

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

KEYONNA N WILSON HHA/CNA/QMA/LPN/RN (NPI 1700762309) is an individual licensed practical nurse in Indianapolis, Indiana, licensed in Indiana (27080699A) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1700762309
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKEYONNA N WILSONCredential: HHA/CNA/QMA/LPN/RN
Location Address6030 E 42ND STIndianapolis, IN 46226-4910
Mailing Address6030 E 42nd StIndianapolis, IN 46226-4910 · (317) 668-6535 · Fax (317) 668-6535
Phone(317) 668-6535
Fax(317) 668-6535
Sole ProprietorNo
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1700762309 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 · 27080699A
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.
6030 E 42ND ST, Indianapolis, IN 46226
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Other Providers at the Same Location NPPES 3

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

PURE LOVE HOME CARE LLC
In Home Supportive Care
6030 E 42ND ST
INDIANAPOLIS, IN 46226
Marion County (317) 668-6535
NEW PATHWAY SOLUTIONS
Durable Medical Equipment & Medical Supplies
6030 E 42ND ST
INDIANAPOLIS, IN 46226
Marion County (317) 668-6535
BUNDLES OF SWEETZ
Durable Medical Equipment & Medical Supplies
6030 E 42ND ST
INDIANAPOLIS, IN 46226
Marion County (317) 668-6535

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 Keyonna Wilson's NPI number?

The NPI number for Keyonna Wilson is 1700762309. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Keyonna Wilson located?

Keyonna Wilson practices at 6030 E 42nd St, Indianapolis, IN 46226. The listed phone number is (317) 668-6535.

What is Keyonna 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 Keyonna Wilson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.