Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bernice Wilson

Individual provider Specialist · NPI 1649458662

Bernice Wilson is a Specialist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2008
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Practice location Address checks out

4202 Buell Dr
Fort Wayne, IN 46807-2743
Phone: (260) 341-4756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 32001561A (IN)

Record details

NPI number1649458662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJanuary 31, 2008

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