Individual provider · Type 1 NPI

Shaniqua Nicole Wilson

Psychiatric/Mental Health Nurse Practitioner · Poughkeepsie, NY

NPI number 1588150593 Active

Practice location

241 North Rd
Poughkeepsie, NY 12601-1154

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140

Other practice locations

  • 707 E Main St, Middletown, NY 10940-2650 · (845) 333-2260

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X636904 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X402439 (NY)

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

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About NPI 1588150593

Shaniqua Nicole Wilson's National Provider Identifier is 1588150593, issued on Jul 3, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Poughkeepsie, NY. The record was last updated on May 27, 2021.