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

Katelyn Nicole Wilson

Individual provider Case Manager/Care Coordinator · NPI 1093631780

Katelyn Nicole Wilson is a Case Manager/Care Coordinator in Antioch, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3012 Longview Rd
Antioch, CA 94509-5505
Phone: (925) 813-5013
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1093631780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

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