SHENELLE WILSON NPI 1215283775

NPI Information

  • NPI: 1215283775
  • Provider Name: SHENELLE WILSON
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2204 PAVILION DR STE 310
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 246-4155

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NPI Details

Shenelle Wilson is an urology in Kingsport, TN with 13 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Shenelle Wilson NPI is 1215283775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

2204 PAVILION DR STE 310
KINGSPORT, TN
ZIP 37660-653
Phone: (423) 246-4155

The NPI 1215283775 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2012 and was last updated on 9/13/2023.

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
1208800000XUrology36843ALABAMANo
2208800000XUrology85818GEORGIAYes

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: 11/21/2025

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