JAVON WILSON
NPI 1912510918
Technician, Other in Detroit, MI

Q: What is Javon Wilson's NPI number?

The NPI number for Javon Wilson is 1912510918. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Q: What is Javon Wilson's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Javon Wilson was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 28, 2020

400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243(855) 832-6727 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2021, Jun 16, 2021, Aug 31, 2020 and 1 more (4 updates tracked since 2020).

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About Javon Wilson NPPES

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

JAVON WILSON (NPI 1912510918) is an individual technician, other provider in Detroit, Michigan and active in the NPI registry since August 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912510918

Entity TypeIndividualMale

Primary Taxonomy247200000X

Provider Legal NameJAVON WILSON

Location Address400 RENAISSANCE CTR STE 2600Detroit, MI 48243-1502

Mailing Address7108 S Kanner HwyStuart, FL 34997-7462

Phone(855) 832-6727

Sole ProprietorYes

Enumeration DateAugust 28, 2020

Last NPPES UpdateJune 23, 20214 updates tracked since enumeration

NPPES CertifiedJune 23, 2021

✔ NPI 1912510918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Also ListedTechnician/TechnologistTaxonomy 156F00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

400 RENAISSANCE CTR STE 2600, Detroit, MI 48243

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Secondary Practice Locations 2

Location 124200 Woodward AvePleasant Ridge, MI 48069-1144 · Phone (248) 547-2668

Location 232100 Telegraph Rd Ste 205Bingham Farms, MI 48025-2454 · Phone (248) 712-4266

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.

CAITLIN N YODER

Nurse Practitioner