KESHA SHAMELL WILSON NPI 1093432130

NPI Information

  • NPI: 1093432130
  • Provider Name: KESHA SHAMELL WILSON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 13604 BLOOMFIELD AVE
    NORWALK, CA
    ZIP 90650
  • Phone: (310) 703-8853

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NPI Details

Kesha Shamell Wilson is a psychiatric/mental health nurse practitioner in Norwalk, CA. Kesha Shamell Wilson NPI is 1093432130. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13604 BLOOMFIELD AVE
NORWALK, CA
ZIP 90650-209
Phone: (310) 703-8853

The enumeration date for this NPI number is 10/19/2022 and was last updated on 10/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95022491CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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