Individual provider · Type 1 NPI

Tonya Renae Wilson, DNP, PMHNP-BC

Nurse Practitioner · Daytona Beach, FL

NPI number 1407732290 Active

Practice location

841 Jimmy Ann Dr
Daytona Beach, FL 32117-4583

Call (386) 425-3963 Map

Mailing address

1244 Thomasina Dr
Port Orange, FL 32129-7437

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	APRN11040829 (FL)

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 1407732290

Tonya Renae Wilson, DNP, PMHNP-BC's National Provider Identifier is 1407732290, issued on Aug 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Aug 25, 2025.