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1902785793 NPI number — ROCHELLE DENESE WILSON RN

NPI Number: 1902785793
Health Care Provider/Practitioner: ROCHELLE DENESE WILSON RN

Information about “1902785793” NPI (ROCHELLE DENESE WILSON RN) exists in 1902785793 in HTML format HTML  |  1902785793 in plain Text format TXT  |  1902785793 in PDF (Portable Document Format) PDF  |  1902785793 in an XML format XML  formats.

NPI Number : 1902785793 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902785793",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILSON",
    "FirstName": "ROCHELLE",
    "MiddleName": "DENESE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SARGENT/LYONS",
    "OtherFirstName": "ROCHELLE",
    "OtherMiddleName": "DENESE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "15402 HOPKINS CEDAR DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUMBLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77346-4319",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-499-8709",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15402 HOPKINS CEDAR DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUMBLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77346-4319",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-499-8709",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/27/2025",
    "LastUpdateDate": "08/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WX0002X",
          "TaxonomyName": "High-Risk Obstetric Registered Nurse",
          "LicenseNumber": "689412",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WX0003X",
          "TaxonomyName": "Inpatient Obstetric Registered Nurse",
          "LicenseNumber": "689412",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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