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

Jaquiese Wilson

Individual provider Licensed Practical Nurse · NPI 1255139028

Jaquiese Wilson is a Licensed Practical Nurse in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

5070 Matteson Dr
Indianapolis, IN 46235
Phone: (317) 229-5877
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 27081237A (IN)

Record details

NPI number1255139028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 6, 2025
Certification dateMarch 5, 2025
Mailing address5070 Matteson Dr, Indianapolis, IN 46235

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