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

Antinique Wilson

Individual provider Nurse Practitioner · NPI 1215765995

Antinique Wilson is a Nurse Practitioner in Antioch, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1104 Buchanan Rd Ste C10
Antioch, CA 94509-4226
Phone: (925) 676-0505
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95025241 (CA)

Record details

NPI number1215765995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address2420 Sand Creek Rd # 130, Brentwood, CA 94513-2707

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