Individual provider · Type 1 NPI
Shanya Lucille Wilson
Psychiatric/Mental Health Nurse Practitioner · Jacksonville, FL
NPI number
1942059019
Active
Practice location
5776 Saint Augustine Rd
Jacksonville, FL 32207-8046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 1992914659 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1871101691 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942059019
Shanya Lucille Wilson's National Provider Identifier is 1942059019, issued on May 13, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jacksonville, FL. The record was last updated on May 13, 2024.