Individual provider · Type 1 NPI
Grace Mary Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Justin, TX
NPI number
1275356248
Active
Practice location
1168 Superbloom Ave
Justin, TX 76247-2096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1178385 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1275356248
Grace Mary Wilson, PMHNP-BC's National Provider Identifier is 1275356248, issued on Nov 6, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Justin, TX. The record was last updated on Nov 10, 2024.