Individual provider · Type 1 NPI
Eboni Renee Wyllie
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1033818331
Active
Practice location
33 W 60th St
New York, NY 10023-7905
Mailing address
15 Ridgley St
Hackettstown, NJ 07840-3452
Other practice locations
- 1719 NJ-10, Suite 129, Parsippany, NJ 07054 · (973) 829-6960
- 15 Ridgley St, Hackettstown, NJ 07840-3452 · (347) 668-5351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 407883 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ15081700 (NJ) |
| Pediatric Nurse Practitioner | 363LP0200X | 383395 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033818331
Eboni Renee Wyllie's National Provider Identifier is 1033818331, issued on Feb 27, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Aug 20, 2026.