Individual provider · Type 1 NPI
Jacob Allen Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Colorado Springs, CO
NPI number
1962029165
Active
Practice location
615 N Nevada Ave Ste 1E
Colorado Springs, CO 80903-1075
Fax (719) 960-2933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APN.0996156-NP (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1962029165
Jacob Allen Wilson, PMHNP-BC's National Provider Identifier is 1962029165, issued on Jul 3, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Colorado Springs, CO. The record was last updated on Apr 15, 2026.