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

Nicole Wilson

Individual provider Athletic Trainer · NPI 1598214801

Nicole Wilson is an Athletic Trainer in Ipava, Illinois. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

81 E Broadway St
Ipava, IL 61441-5236
Phone: (309) 333-4496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1598214801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2016
Last updated in NPPESSeptember 27, 2016