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

Carolyn Deanna Wilson

Individual provider Medical-Surgical Registered Nurse · NPI 1184298671

Carolyn Deanna Wilson is a Medical-Surgical Registered Nurse in Sacramento, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

2425 Stockton Blvd
Sacramento, CA 95817-2215
Phone: (916) 453-5057
Fax: (916) 453-5038
Show map & directions

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

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 950866896 (CA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 950866896 (CA)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 950866896 (CA)

Record details

NPI number1184298671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023

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