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

Michelle N C Wilson

Individual provider Family Medicine Physician · NPI 1437725991

Michelle N C Wilson is a Family Practice in Boynton Beach, Florida. Qualified in 2021, 5 years ago. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

10075 S Jog Rd Ste 101
Boynton Beach, FL 33437-3532
Phone: (561) 652-8652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12650 (GA)

Record details

NPI number1437725991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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