NPI 1003749250

Shanika L Wilson, CNA

Practitioner Nurse's Aide Rockford, IL

Practice location

Address: 4749 Wolverton Ln APT D, Rockford, IL 61109-5549
Phone: (815) 987-7620
Mailing address: 1519 13th St, Rockford, IL 61104-5424

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1003749250
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2026
Record last updated: 6 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.