Individual provider · Type 1 NPI

Wilson Hickman, CRNP

Nurse Practitioner · Tampa, FL

NPI number 1316493687 Active

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Mailing address

2 Chinkapin Ct
Homosassa, FL 34446-5224

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11012197 (FL)
Acute Care Nurse Practitioner 363LA2100X11012197 (FL)
Critical Care Medicine Nurse Practitioner 363LC0200XSP016282 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316493687

Wilson Hickman, CRNP's National Provider Identifier is 1316493687, issued on Aug 28, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on Sep 23, 2026.