PATRICE JANICE WILSON FNP PMHNP-BC NPI 1003318833

NPI Information

  • NPI: 1003318833
  • Provider Name: PATRICE JANICE WILSON, FNP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1086 FRANKLIN ST FL 7
    JOHNSTOWN, PA
    ZIP 15905
  • Phone: (678) 593-9020

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NPI Details

Patrice Janice Wilson, FNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Johnstown, PA with 8 years of experience. Patrice Janice Wilson, FNP, PMHNP-BC NPI is 1003318833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1086 FRANKLIN ST FL 7
JOHNSTOWN, PA
ZIP 15905-305
Phone: (678) 593-9020

The NPI 1003318833 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 3/7/2018 and was last updated on 4/9/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN201447GEORGIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthSP029334PENNSYLVANIAYes

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: 3/30/2025

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