Individual provider · Type 1 NPI

Julianne Alyssa Wilson, PA-C

Physician Assistant · St. Petersburg, FL

NPI number 1407753684 Active

Practice location

625 6th Ave S
St. Petersburg, FL 33701-4662

Mailing address

205 County Road 560
Centre, AL 35960-4234

Other practice locations

  • 701 6th St S Fl 33701, St. Petersburg, FL 33701-4814 · (727) 823-1234

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9122272 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407753684

Julianne Alyssa Wilson, PA-C's National Provider Identifier is 1407753684, issued on Oct 21, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 21, 2026.