Sherly Wilson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP022690 Issued in PA

Practice address

2701 Holme Ave Ste 203
Philadelphia, PA 19152-2029

Phone

(215) 331-0515

Fax

(215) 331-8144

NPI assigned

Jan 2, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hjazi Health Care P.L.L.C.

  • Primary Care Clinic/Center
  • Huntingdon Valley, PA
  • NPI 1659552362

  Single Specialty

  NPD
• Contemporary Surgical Associates, LLC

  • Surgery Physician
  • Huntingdon Valley, PA
  • NPI 1104124692

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1093303489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 HUNTINGDON PIKE STE 1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068359",
            "telephone_number": "215-324-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE STE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "215-331-0515",
            "fax_number": "215-331-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roniche Wilson
• Rosemary Elizabeth Wilson
• Sarah Elizabeth Landis Wilson, D.O.
• Shavona Wilson, LSW
• Sheriee Wilson, M.ED
• Simone Therese Wilson, MS, RD, LDN
• Tahira Wilson, MSN, RN, PMHNP-BC
• Tara Ashley Wilson
• Tierra Wilson, PT, DPT
• Tiffany Wilson

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.