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

Dr. Nicole Joann Wilson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770903015

Dr. Nicole Joann Wilson, MD is a Student in an Organized Health Care Education/Training Program in Woodbury, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Woodbury, MN

Additional practice locations (1)

  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 624-4418

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 62339 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770903015
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2014
Last updated in NPPESJuly 21, 2022

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