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

Keneisha Wilson, LPN

Individual provider Licensed Practical Nurse · NPI 1689547572

Keneisha Wilson, LPN is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

19949 Fenton St
Detroit, MI 48219-1069
Phone: (248) 918-5188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703129149 (MI)

Record details

NPI number1689547572
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 25, 2025
Mailing address19949 Fenton St, Detroit, MI 48219-1069

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