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Shanice Wilson

NPI 1174490981 · on the registry since 2025

Practice

Address
5555 Greenwich Rd
Virginia Beach, VA 23462
Phone
(757) 517-3903
Organisation at this address
Sentara Medical Group
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia