Lisa Nicole Wilson is a Port Jefferson, New York based nurse practitioner. Active license number of Lisa Nicole Wilson is F312374-01 in New York. Her current practice location is 640 Belle Terre Rd, Port Jefferson. Patients can reach her at 631-828-5361. Lisa Nicole Wilson is NP and her NPI number (Unique professional ID assigned by NPPES) is 1942182472. Lisa Nicole Wilson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lisa Nicole Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lisa Nicole Wilson
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Practice Address:
640 Belle Terre Rd, Port Jefferson, New York, 11777-1936
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1942182472
NPI Enumeration Date:
24 Jul, 2025
NPI Last Update On:
24 Jul, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Nicole Wilson are as mentioned below.
License Number
Specialization
State
Status
F312374-01
New York
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lisa Nicole Wilson 195 N Utica Ave, North Massapequa, New York
Zip:
11758-2143
Phone Number:
347-423-1784
Patients can reach Lisa Nicole Wilson at 640 Belle Terre Rd, Port Jefferson, New York or can call to book an appointment on 631-828-5361.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.