Individual provider · Type 1 NPI

Angela Wilson, PMHNP-BC

Psychiatric/Mental Health Registered Nurse · Peoria, IL

NPI number 1386529865 Active

Practice location

1701 W Garden St
Peoria, IL 61605-3531

Mailing address

1514 Summer St
Pekin, IL 61554-5643

Other practice locations

  • 2321 N Wisconsin Ave, Peoria, IL 61603-5613 · (309) 680-7600

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X209032904 (IL)

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

14 other providers at this address

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About NPI 1386529865

Angela Wilson, PMHNP-BC's National Provider Identifier is 1386529865, issued on Aug 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Peoria, IL. The record was last updated on Aug 6, 2025.