Individual
MRS. TIARA BIANCA WILEY-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3713 NASH ST NW STE 203, WILSON, NC 27896-1127
(252) 360-0071
(936) 209-7972
Mailing address
101 BRENTWOOD CENTER LN N, WILSON, NC 27896-1710
(252) 315-4696
(936) 209-7972
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
195197
NC
363L00000X
Nurse Practitioner
Primary
5011683
NC
363LG0600X
Gerontology Nurse Practitioner
5011683
NC
Other
Enumeration date
04/15/2019
Last updated
07/27/2026
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