Individual provider · Type 1 NPI

Tahira Wilson, MSN, RN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA

NPI number 1629677182 Active

Practice location

1521 66th Ave
Philadelphia, PA 19126-2766

Call (215) 237-6439 Map

Mailing address

1925 Keith Rd Unit 9
Abington, PA 19001-2628

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XSP036001 (PA)
Home Health Agency 251E00000XNone listed
Case Management Agency 251B00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Community Based Hospice Care Agency 251G00000XNone listed
PACE Provider Organization 251T00000XNone listed
Homemaker 376J00000XNone listed
Registered Nurse 163W00000XRN675987 (PA)
Chore Provider 372500000XNone listed
Personal Care Attendant 3747P1801XNone listed
Respite Care 385H00000XNone listed
Attendant Care Provider 3747A0650XNone listed

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

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About NPI 1629677182

Tahira Wilson, MSN, RN, PMHNP-BC's National Provider Identifier is 1629677182, issued on Oct 25, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 10, 2026.