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

Brandon Antywan Wilson

Individual provider Chore Provider · NPI 1043029531

Brandon Antywan Wilson is a Chore Provider in Lincoln, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
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Practice location Address checks out

1233 Shadow Moss Ln
Lincoln, NE 68521-8600
Phone: (402) 802-1544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X
Chore Provider Taxonomy 372500000X
Adult Companion Taxonomy 372600000X
Day Training/Habilitation Specialist Taxonomy 373H00000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1043029531
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

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