Individual provider · Type 1 NPI

Tanesha Wilson, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Melbourne, FL

NPI number 1265357990 Active

Practice location

200 S Harbor City Blvd Ste 401
Melbourne, FL 32901-1389

Mailing address

4195 Hield Rd NW
Palm Bay, FL 32907-6310

Other practice locations

  • 4195 Hield Rd NW, Palm Bay, FL 32907-6310 · (407) 403-1450

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11049810 (FL)

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

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About NPI 1265357990

Tanesha Wilson, PMHNP's National Provider Identifier is 1265357990, issued on Aug 11, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Melbourne, FL. The record was last updated on Oct 6, 2026.