KEISHA LYN WILSON NPI 1588563548

NPI Information

  • NPI: 1588563548
  • Provider Name: KEISHA LYN WILSON
  • Classification: Registered Nurse - 163WX0200X
  • Specialization: Oncology
  • Entity Type: Individual
  • Address: 778 REGENCY LN
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 520-1890

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NPI Details

Keisha Lyn Wilson is an oncology registered nurse in Idaho Falls, ID. Keisha Lyn Wilson NPI is 1588563548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

778 REGENCY LN
IDAHO FALLS, ID
ZIP 83402-278
Phone: (208) 520-1890

The enumeration date for this NPI number is 11/4/2026 and was last updated on 11/4/2026.

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
1163WX0200XRegistered NurseOncology5161770IDAHOYes

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

NPI Synchronization or Removal

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