Individual
DARNELLA NYEISHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 E 95TH ST # A, CLEVELAND, OH 44108-2134
(440) 990-7793
Mailing address
824 E 95TH ST # A, CLEVELAND, OH 44108-2134
(440) 990-7793
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
005555
OH
Other
Enumeration date
04/07/2025
Last updated
02/05/2026
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