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

Individual provider Registered Nurse · NPI 1679303119

Lacey-Ann Alicia Wilson is a Registered Nurse in Brooklyn, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024
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Practice location Address checks out

1358 56th St
Brooklyn, NY 11219-4616
Phone: (718) 854-0048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2811 Queens Plz N, Long Island City, NY 11101-4172 — (718) 391-8300

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 915552 (NY)

Record details

NPI number1679303119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2024
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

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