Individual provider · Type 1 NPI

Susan C. Wilson, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Safety Harbor, FL

NPI number 1104563105 Active · reactivated Mar 15, 2024

Practice location

802 2nd St N, Suite B
Safety Harbor, FL 34695

Mailing address

802 2nd St N Ste B
Safety Harbor, FL 34695-3566

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11019679 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104563105

Susan C. Wilson, PMHNP's National Provider Identifier is 1104563105, issued on May 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Safety Harbor, FL. The record was last updated on Feb 27, 2026.