Individual provider · Type 1 NPI
Cawonda Ranee Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Springfield, IL
NPI number
1417648148
Active
Practice location
2501 Chatham Rd
Springfield, IL 62704-4188
Fax (844) 222-0800
Mailing address
6823 Sussex Rd
Tinley Park, IL 60477-1745
Other practice locations
- 1203 W Augusta Blvd Ste 1, Chicago, IL 60642-4327 · (773) 248-2255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209027707 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2023032312 (IL) |
| Psychiatry Physician | 2084P0800X | 2023032312 (IL) |
| Geriatric Psychiatry Physician | 2084P0805X | 041469714 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Springfield
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- Kim A. Earl, APRN, PMHNP, FNPPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1063669497
- Jayla Breann LangfelderPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1063990273
- Kelci Lynn Capps, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1073228771
- Melissa S. Adams, APNPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1083596217
- Mary Brooks, APRN-FPAPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1124579099
About NPI 1417648148
Cawonda Ranee Wilson, PMHNP-BC's National Provider Identifier is 1417648148, issued on May 15, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Springfield, IL. The record was last updated on May 2, 2024.