IVORY WILSON
NPI 1720847130
Licensed Practical Nurse in Indian Orchard, MA

Active since March 18, 2024
200 FIBERLOID ST, INDIAN ORCHARD, MA 01151(413) 381-6644 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivory Wilson NPPES

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

IVORY WILSON (NPI 1720847130) is an individual licensed practical nurse in Indian Orchard, Massachusetts, licensed in Massachusetts (LN96517) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1720847130
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameIVORY WILSON
Location Address200 FIBERLOID STIndian Orchard, MA 01151-1006
Mailing Address200 Fiberloid StIndian Orchard, MA 01151-1006
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1720847130 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 MA · LN96517
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.
200 FIBERLOID ST, Indian Orchard, MA 01151

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 Ivory Wilson's NPI number?

The NPI number for Ivory Wilson is 1720847130. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Ivory Wilson located?

Ivory Wilson practices at 200 Fiberloid St, Indian Orchard, MA 01151. The listed phone number is (413) 381-6644.

What is Ivory 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 Ivory Wilson was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.