TIARA WILSON
NPI 1902158306
Licensed Practical Nurse in Waycross, GA

Active since October 09, 2012
1007 MARY ST, WAYCROSS, GA 31503(912) 449-7111 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tiara Wilson NPPES

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

TIARA WILSON (NPI 1902158306) is an individual licensed practical nurse in Waycross, Georgia, licensed in Georgia (LPN083722) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1902158306
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTIARA WILSON
Location Address1007 MARY STWaycross, GA 31503-3823
Mailing Address1007 Mary StWaycross, GA 31503-3823 · (912) 449-7111
Sole ProprietorNo
Enumeration DateOctober 9, 2012
NPI 1902158306 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 GA · LPN083722
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.
1007 MARY ST, Waycross, GA 31503

Other Providers at the Same Location NPPES 20

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

Counselor
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Social Worker (Clinical)
1007 MARY ST
WAYCROSS, GA 31503
Counselor (Mental Health)
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Licensed Practical Nurse
1007 MARY ST
WAYCROSS, GA 31503
Registered Nurse (Addiction (Substance Use Disorder))
1007 MARY ST
WAYCROSS, GA 31503

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 Tiara Wilson's NPI number?

The NPI number for Tiara Wilson is 1902158306. It was assigned to this individual provider in the NPPES registry on October 9, 2012.

Where is Tiara Wilson located?

Tiara Wilson practices at 1007 Mary St, Waycross, GA 31503. The listed phone number is (912) 449-7111.

What is Tiara 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 Tiara Wilson was last updated on October 9, 2012. 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.