Sheresa Wilson, PA-C, LMHCA
Physician Assistant in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1114001237
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1114001237
- Entity type
- Individual (NPI-1)
- Name
- Sheresa Wilson
- Credential
- PA-C, LMHCA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10000892A | IN | Yes |
| 101YM0800X | Counselor, Mental Health | 88001982A | IN | |
| 363A00000X | Physician Assistant | 5601005190 | MI |
Other names
- Sheresa Wilson-Devries (Former Name)
Practice location
2710 Lake AveFort Wayne, IN 46805-5412
Phone 260-481-2700 · Fax 260-969-8448
Mailing address
16311 Page RdGrabill, IN 46741-9612
Phone 260-452-6700
Other practice locations
1720 Beacon St
Fort Wayne, IN 46805-4749
Fort Wayne, IN 46805-4749
Phone 260-373-8000 · Fax 260-373-8034
419 Airport North Office Park
Fort Wayne, IN 46825-6704
Fort Wayne, IN 46825-6704
Phone 260-267-5185
370 E Chicago St Ste 200
Coldwater, MI 49036-2062
Coldwater, MI 49036-2062
Phone 517-279-5378 · Fax 517-279-5259
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