MRS. Michelle Jeanette Ivery-Wilson, REGISTERED NURSE(RN)

NPI #1003292079 in Dayton, Ohio

Provider Information

NPI Number: 1003292079
Entity Type: Individual
Name: MRS. Michelle Jeanette Ivery-Wilson, REGISTERED NURSE(RN)
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: REGISTERED NURSE(RN)
Enumeration Date: Jul 31, 2015
Last Updated: Nov 27, 2024

Practice Location

Address: 318 HOLLENCAMP AVE
City: Dayton
State: Ohio
ZIP Code: 45417-9029
Phone: (937) 397-0334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Registered Nurse	163W00000X	Primary

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