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

Bernice Wilson

Individual provider Specialist · NPI 1649458662

Bernice Wilson is a Specialist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2008

Practice location Address checks out

4202 Buell Dr
Fort Wayne, IN 46807-2743
Phone: (260) 341-4756
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 32001561A (IN)

Record details

NPI number1649458662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJanuary 31, 2008
Mailing address4202 Buell Dr, Fort Wayne, IN 46807-2743

Other providers in Fort Wayne