RAQUITA WILSON - NPI 1770130924 - Licensed Practical Nurse in Little Rock, AR

Q: What is Raquita Wilson's NPI number?

The NPI number for Raquita Wilson is 1770130924. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Q: What is Raquita Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Raquita Wilson was last updated on August 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Raquita Wilson NPPES

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

RAQUITA WILSON (NPI 1770130924) is an individual licensed practical nurse in Little Rock, Arkansas, licensed in Arkansas (915732326) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1770130924

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameRAQUITA WILSON

Location Address6425 W 12TH STLittle Rock, AR 72204-1509

Mailing AddressPo Box 251970Little Rock, AR 72225-1970

Phone(501) 666-8686

Sole ProprietorNo

Enumeration DateAugust 22, 2019

✔ NPI 1770130924 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 AR · 915732326

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.

6425 W 12TH ST, Little Rock, AR 72204

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