Patrice Wilson LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PATRICE WILSON LLC

Practice address

5555 Conner St Ste 3015
Detroit, MI 48213-3806

Phone

(313) 324-2300

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrice Lavon Wilson, RNNPI 1154091692

Title

Ceo

Phone

(313) 324-2300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrice Lavon Wilson, LPN

  • Registered Nurse
  • Macomb, MI
  • NPI 1154091692
  Authorized official Same address or phone

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1215858865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 3015",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133806",
            "telephone_number": "313-324-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 3015",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133806",
            "telephone_number": "313-324-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICE WILSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-324-2300",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabhumallikarjun Patil, M.D
• Vrishali P Patil, MD,MRCS,DNB
• Nakeisha Lanae Patmon
• Murali S Patri, MD
• Patrice Coates (Perfect Touch Home Health Care)
• Patricia Butler-Matthews
• Sharlene May Patricio-Clarin
• Patrick a. Charles MD PC
• Patrick Development Inc (The Patrick Center)
• Patrick G Murray Eye Center PC

• Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.