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

Ivory Wilson

Individual provider Licensed Practical Nurse · NPI 1720847130

Ivory Wilson is a Licensed Practical Nurse in Indian Orchard, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

200 Fiberloid St
Indian Orchard, MA 01151-1006
Phone: (413) 381-6644
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 LN96517 (MA)

Record details

NPI number1720847130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address200 Fiberloid St, Indian Orchard, MA 01151-1006

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