Individual provider · Type 1 NPI
Raquel Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · West Memphis, AR
NPI number
1457104564
Active
Practice location
309 N 5th St
West Memphis, AR 72301-3213
Mailing address
1500 Oaklawn Dr
West Memphis, AR 72301-2996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 228158 (AR) |
| Registered Nurse | 163W00000X | R08131 (AR) |
| Registered Nurse | 163W00000X | 927570 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 36872 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1457104564
Raquel Wilson, PMHNP-BC's National Provider Identifier is 1457104564, issued on Apr 9, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Memphis, AR. The record was last updated on Sep 16, 2026.