Individual provider · Type 1 NPI
Tara Nicole Wilson, PA-C
Physician Assistant · Washington, DC
Practice location
110 Irving Sreet NW, Room 4B-42
Washington, DC 20010-2975
Mailing address
423 E Beaver St
Zelienople, PA 16063-1201
Other practice locations
- 1200 N Elm St, Greensboro, NC 27401-1004 · (336) 522-8999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-11443 (NC) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1174006035
Tara Nicole Wilson, PA-C's National Provider Identifier is 1174006035, issued on Sep 7, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Washington, DC. The record was last updated on Jun 24, 2025.