Debra Elizabeth Wilson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NPO4515300 Issued in NJ

Practice address

6103 Westfield Ave
Pennsauken, NJ 08110-1754

Phone

(856) 486-9097

NPI assigned

Oct 9, 2024

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

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1235958802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CYPRESS AVE APT 1",
            "city": "WOODLYNNE",
            "state": "NJ",
            "postal_code": "081072122",
            "telephone_number": "856-375-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 WESTFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101754",
            "telephone_number": "856-486-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEBRA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NPO4515300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Westerfield, CRPS
• Wiley Christian Adult Day Services Inc
• Wiley Christian Adult Day Services, Inc.
• Ronald Collins Williams
• Barbara Wilson, RD
• Harvey Wolbransky, OD
• Fallon Nicole Woodford
• Theresa-Rose Woodward, PHARMD, RPH
• Yves Georges Dubois M .D .Office
• Ronald Zweibaum, DC

• Licensed Practical Nurse in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.