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

Mrs. Michelle Jeanette Ivery-Wilson, REGISTEREDNURSERN

Individual provider Licensed Practical Nurse · NPI 1003292079

Mrs. Michelle Jeanette Ivery-Wilson, REGISTEREDNURSERN is a Licensed Practical Nurse in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2015
Specialties on file
2

Practice location Address checks out

318 Hollencamp Ave
Dayton, OH 45417-9029
Phone: (937) 397-0334
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN398412 (OH)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 398412 (OH)

Record details

NPI number1003292079
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSERN
Sole proprietorYes
NPI enumeratedJuly 31, 2015
Last updated in NPPESNovember 27, 2024

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