National Provider Identifier
Jolisa Wilson, LPN
Jolisa Wilson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Williamsville, NY and a listed phone number of (716) 276-2123.
Profile Overview
- NPI
- 1992590194
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 10, 2025
- Last Updated
- April 10, 2025
Practice Location
- 2250 Wehrle Dr
- Williamsville, NY 14221-7034
Phone: (716) 276-2123
Mailing Address
- 490 Broadway St Apt 351
- Buffalo, NY 14204-1690
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1992590194
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Jolisa
- Credential
- LPN
- Mailing Street Address
- 490 Broadway St Apt 351
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14204-1690
- Mailing Country
- US
- Practice Street Address
- 2250 Wehrle Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7034
- Practice Country
- US
- Practice Phone
- (716) 276-2123
- Enumeration Date
- April 10, 2025
- Last Updated
- April 10, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 10, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)