Individual provider · Type 1 NPI
Tiffany Danielle Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Concord, NC
NPI number
1821769894
Active
Practice location
925 Bradley St
Concord, NC 28025-0911
Mailing address
1218 Laurel Woods Dr
Gastonia, NC 28052-5433
Other practice locations
- 1218 Laurel Woods Dr, Gastonia, NC 28052-5433 · (704) 300-4706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 286968 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5016128 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1821769894
Tiffany Danielle Wilson, PMHNP-BC's National Provider Identifier is 1821769894, issued on Sep 21, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Concord, NC. The record was last updated on Jun 24, 2024.