Provider Demographics
NPI:1902785793
Name:WILSON, ROCHELLE DENESE (RN)
Entity type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:DENESE
Last Name:WILSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ROCHELLE
Other - Middle Name:DENESE
Other - Last Name:SARGENT/LYONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:15402 HOPKINS CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4319
Mailing Address - Country:US
Mailing Address - Phone:832-499-8709
Mailing Address - Fax:
Practice Address - Street 1:15402 HOPKINS CEDAR DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4319
Practice Address - Country:US
Practice Address - Phone:832-499-8709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX689412163WX0002X, 163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk