Individual
LAHOMA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Mailing address
97 GREAT TEAYS BLVD, STE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN77491-NP
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN77491
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810029689
—
WV
Enumeration date
08/13/2015
Last updated
01/05/2026
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