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

Individual provider Licensed Practical Nurse · NPI 1619592003

Phanitra Nicole Wilson, LPN is a Licensed Practical Nurse in Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

2700 Eaton Rapids Rd Lot 184
Lansing, MI 48911-6323
Phone: (517) 575-3129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703120709 (MI)

Record details

NPI number1619592003
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJune 11, 2020
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020

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