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

Tiara Wilson

Individual provider Licensed Practical Nurse · NPI 1902158306

Tiara Wilson is a Licensed Practical Nurse in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012

Practice location Address checks out

1007 Mary St
Waycross, GA 31503-3823
Phone: (912) 449-7111
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN083722 (GA)

Record details

NPI number1902158306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2012
Last updated in NPPESOctober 9, 2012
Mailing address1007 Mary St, Waycross, GA 31503-3823

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