Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amethyst Niomi Wilson

Individual provider Licensed Practical Nurse · NPI 1942785506

Amethyst Niomi Wilson is a Licensed Practical Nurse in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

56 Tudor Ln
Bay Shore, NY 11706-5530
Phone: (631) 358-4206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 333269 (NY)

Record details

NPI number1942785506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2018
Last updated in NPPESSeptember 30, 2018

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