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

Michelle Antoinette Wilson

Individual provider Family Nurse Practitioner · NPI 1265078166

Michelle Antoinette Wilson is a Nurse Practitioner in Hammond, Louisiana. Qualified in 2017, 9 years ago. Practices with Pcp Urgent Care Holdings LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2019

Practice location Address checks out

45001 Tanglewood Dr
Hammond, LA 70401-4442
Phone: (832) 600-1935
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 32538 (TX)

Record details

NPI number1265078166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2019
Last updated in NPPESMay 16, 2020
Certification dateMay 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pcp Urgent Care Holdings Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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