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

Telisa Wilson

Individual provider Case Manager/Care Coordinator · NPI 1629662101

Telisa Wilson is a Case Manager/Care Coordinator in Slc, Utah. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

344 E 100 S
Slc, UT 84111-1700
Phone: (801) 322-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1629662101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing address344 E 100 S, Slc, UT 84111-1700

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