| Kisha Wilson, | |
|
3938 Massey Run, Raleigh, NC 27616-9747 | |
| (804) 647-5093 | |
| Not Available |
| Full Name | Kisha Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3938 Massey Run, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730798612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 235291 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duke Health Raleigh Hospital | Raleigh, NC | Hospital |
| Duke University Hospital | Durham, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duke Health Integrated Practice Inc | 8325412737 | 2636 |
| Entity Name | Private Diagnostic Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Kisha Wilson, 3938 Massey Run, Raleigh, NC 27616-9747 Ph: (804) 647-5093 | Kisha Wilson, 3938 Massey Run, Raleigh, NC 27616-9747 Ph: (804) 647-5093 |
Shari Mewborn, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7309 Louisburg Rd, Raleigh, NC 27616 Phone: 919-713-0333 Fax: 919-713-0333 | |
Islande Mitil, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2435 Lynn Rd Ste 106b, Raleigh, NC 27612 Phone: 984-242-0224 | |
Rosana Oba -rovira, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 Phone: 919-280-0056 | |
Dr. Nicole Harrison, PMHNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1708 Trawick Rd Ste 115, Raleigh, NC 27604 Phone: 919-841-2465 Fax: 919-747-9462 | |
Meredith Jane Lenox, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13004 Hanford Ct, Raleigh, NC 27614 Phone: 919-745-0024 | |
Marie Rodgers, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5222 Chipstone Drive, Raleigh, NC 27610 Phone: 919-612-2321 | |
Malkia Rayner, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4406 Old Wake Forest Rd, Suite 201, Raleigh, NC 27609 Phone: 919-790-7663 |