Provider Type Icon

DR. TIMOTHY WILSON DNP APRN NPI 1780096115


NPI Information

NPI: 1780096115
Provider Name: DR. TIMOTHY WILSON, DNP, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1650 OSCEOLA DR
WEST PALM BEACH, FL
ZIP 33409
Phone: (561) 803-8880
Get Directions

DR. Timothy Wilson, DNP, APRN is a psychiatric/mental health nurse practitioner in West Palm Beach, FL with 10 years of experience. DR. Timothy Wilson, DNP, APRN NPI is 1780096115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1650 OSCEOLA DR
WEST PALM BEACH, FL
ZIP 33409-038
Phone: (561) 803-8880
Fax: (561) 803-8899

The NPI 1780096115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2014 and was last updated on 10/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ01026700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.