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NPI Code Detail

MEDICARE: CHELSEY WILSON

MEDICARE: CHELSEY WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse28271769AIN

General Provider Information

NPI Number : 1538007620
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY WILSON
Provider Business Mailing Address
First Line : 6640 E STATE ROAD 8
Second Line :
City : KENDALLVILLE
State : IN
Zip : 46755-9605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11109 PARKVIEW PLAZA DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number : 260-266-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ CHELSEY WILSON ” Practice Location

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