Courtney Joy Wilson, RN
Individual provider Active NPI Personal Care Attendant · Marion, MI
NPI 1003668997 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1003668997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 516 Douglas LN
Marion, MI 49665-9212 - Phone
- (231) 388-0956
- NPI assigned
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
516 Douglas LN
Marion, MI 49665-9212
Mailing address
516 Douglas LN
Marion, MI 49665-9212
Phone (231) 388-0956
Other providers in Marion, MI
- Tricia Ann McGillis
- Matthew Schut
- Carrie Marie Thompson
- Megan Marie Vandepol
- Jennifer Lynn Williams
- John Zeeman
- Laurie Zoyioupoulos
All providers in Marion, MI · Personal Care Attendant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.